Individual provider Active NPI

Vincent X Rodriguez Bury, M.D.

  • Urology Physician
  • Carolina, PR
National Provider Identifier
1003221458
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
21356 Issued in PR
Practice address
Doctors Center Hospital Carolina
Ave Fernandez Juncos Edificio Jesus T Pinero Bo Pueblo
Carolina, PR 00985-6179
Phone
(787) 626-3322
NPI assigned
Jun 24, 2014
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 21356 PR Primary

Addresses

Primary practice location

Doctors Center Hospital Carolina
Ave Fernandez Juncos Edificio Jesus T Pinero Bo Pueblo
Carolina, PR 00985-6179

Mailing address

PO Box 364641
San Juan, PR 00936-4641
Phone (787) 432-5609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713000379 PR Practitioner - Urology 3173946910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Puerto Rico School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Fernandez Juncos Esq Molinillo
Antiguo Edificio Jesus T. Pineiro 80100
Carolina, PR 00985-6179
Phone (787) 983-6768

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Urovida LLC Single Specialty CurrentSince Jul 2, 2021 Accepting new patients
Hospitalist Medical Services, PSC CurrentSince Apr 23, 2020 Accepting new patients
Hospitalist Medical Services, PSC Single Specialty Current Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25165/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vincent.rodriguezbury@4194.securemail.prognocis.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1003221458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364641",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364641",
            "telephone_number": "787-432-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOCTORS CENTER HOSPITAL CAROLINA",
            "address_2": "AVE FERNANDEZ JUNCOS EDIFICIO JESUS T PINERO BO PUEBLO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009856179",
            "telephone_number": "787-626-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ BURY",
        "first_name": "VINCENT",
        "middle_name": "X",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PR",
            "license": "21356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.