Active NPI
Luis E. Rodriguez, M.D.
- General Practice Physician
- Guaynabo, PR
National Provider Identifier
1013136431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16080
- Practice address
- 9 Calle Neptuno
Monte Olimpo
Guaynabo, PR 00969-4953 - Phone
- (787) 810-7242
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16080 | PR | Primary |
| General Practice Physician | 208D00000X | 4301503877 | MI |
Addresses
Primary practice location
9 Calle Neptuno
Monte Olimpo
Guaynabo, PR 00969-4953
Mailing address
9 Calle Neptuno
Monte Olimpo
Guaynabo, PR 00969-4953
Phone (787) 810-7242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301503877 | MI | MD | General Practice Physician |
| 16080 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1013136431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CALLE NEPTUNO",
"address_2": "MONTE OLIMPO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694953",
"telephone_number": "787-810-7242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 CALLE NEPTUNO",
"address_2": "MONTE OLIMPO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694953",
"telephone_number": "787-810-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LUIS",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16080",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "MI",
"license": "4301503877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.