Dr Tamara Ivelisse Guzman Rodriguez, MD | |
130 Ridge Center Dr, Davenport, FL 33837-6413 | |
(866) 234-8534 | |
Not Available |
Full Name | Dr Tamara Ivelisse Guzman Rodriguez |
---|---|
Gender | Female |
Speciality | General Practice |
Location | 130 Ridge Center Dr, Davenport, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063443612 | NPI | - | NPPES |
1063443612 | Medicaid | FL | |
ACN 448 | Other | FL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 15632 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN 448 (Florida) | Primary |
Entity Name | Bella Vista Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083636179 PECOS PAC ID: 6507831351 Enrollment ID: O20040826000750 |
Mailing Address | Practice Location Address |
---|---|
Dr Tamara Ivelisse Guzman Rodriguez, MD 47 5th St Nw, Winter Haven, FL 33881-4672 Ph: (866) 234-8534 | Dr Tamara Ivelisse Guzman Rodriguez, MD 130 Ridge Center Dr, Davenport, FL 33837-6413 Ph: (866) 234-8534 |
Dr. Jordan Martinez, MD General Practice Medicare: Medicare Enrolled Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-422-4971 | |
Dr. Enrique Rafael Martinez-lugo, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 106 Park Place Blvd Ste C, Davenport, FL 33837 Phone: 863-588-4775 Fax: 863-422-7664 | |
Teodoro Medina, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 111 Webb Dr, Davenport, FL 33837 Phone: 863-421-9447 Fax: 863-421-1806 | |
Mrs. Melissa Aime Rivera Santiago, MD General Practice Medicare: Medicare Enrolled Practice Location: 40230 U.s. 27 N, Ste 130, Davenport, FL 33837 Phone: 352-259-2159 | |
Dr. Luis Miguel Nunez Arroyo, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2306 North Blvd W, Davenport, FL 33837 Phone: 863-547-9200 Fax: 863-547-9221 | |
Dr. Ricardo R Sanchez Maceira, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 111 Webb Dr, Davenport, FL 33837 Phone: 863-421-9447 Fax: 863-421-1806 |