Provider Demographics
NPI:1427148543
Name:RODRIGUEZ, RUTH M (DO)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:M
Last Name:RODRIGUEZ
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:RODRIGUEZ-PALERMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:PROVIDER ENROLLMENT DEPARTMENT
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19732-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-5985
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:13535 NEMOURS PKWY
Practice Address - Street 2:NEMOURS CHILDRENS HOSPITAL
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7402
Practice Address - Country:US
Practice Address - Phone:407-567-3876
Practice Address - Fax:407-567-5924
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6692208M00000X, 208000000X
VA0102205369208000000X
KYTP346208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS6692OtherMEDICAL LICENSE NUMBER