Individual provider Active NPI

Jose Valentin Rodriguez Leon

  • Anatomic Pathology & Clinical Pathology Physician
National Provider Identifier
1013319995
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
21004 Issued in PR
Practice address
300 Domenech Ave.
San Juan, PUERTO RICO 00918
UM
Phone
(787) 765-7320
NPI assigned
Sep 22, 2014
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 21004 PR Primary

Addresses

Primary practice location

300 Domenech Ave.
San Juan, PUERTO RICO 00918
UM

Mailing address

Urb Ponce de Leon #180 Calle 22
Guaynabo, PUERTO RICO 00969
UM
Phone (787) 233-3930

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
I20210608000554 PR Practitioner - Pathology 4183047269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Puerto Rico School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hato Rey Pathology Associates IncGroup PAC ID 6608959804, 21 clinicians

Practice addresses (Care Compare)

300 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hato Rey Pathology Associates Inc CurrentSince May 20, 2021 Accepting new patients
Hato Rey Pathology Associates,PSC PastSince Feb 2, 2020 Accepting new patients

Locations

300 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 758-3220

570 Calle Juan J Jimenez
San Juan, PR 00918
Phone 7877657320 ext. 225

Interoperability endpoints

  • Direct secure messaging: jrodriguezleon695442@direct.hopkinsmedicine.org

Organizations & group practices 2

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 5

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1013319995",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "URB PONCE DE LEON #180 CALLE 22",
            "city": "GUAYNABO",
            "state": "PUERTO RICO",
            "postal_code": "00969",
            "telephone_number": "787-233-3930"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "300 DOMENECH AVE.",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "00918",
            "telephone_number": "787-765-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ LEON",
        "first_name": "JOSE",
        "middle_name": "VALENTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "21004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.