Provider Demographics
NPI:1548454788
Name:RODRIGUEZ NAVEDO, YERANIA (MD)
Entity type:Individual
Prefix:DR
First Name:YERANIA
Middle Name:
Last Name:RODRIGUEZ NAVEDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YERANIA
Other - Middle Name:
Other - Last Name:RODRIGUEZ NAVEDO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1020 LAKE SUMTER LNDG
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-2699
Mailing Address - Country:US
Mailing Address - Phone:352-674-8905
Mailing Address - Fax:352-674-8901
Practice Address - Street 1:2955 BROWNWOOD BLVD
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32163-2039
Practice Address - Country:US
Practice Address - Phone:844-884-9355
Practice Address - Fax:352-674-8714
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME128439207RR0500X, 207RR0500X, 207R00000X, 207RG0300X
PR17960207RG0300X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL634953Medicaid