Edelmiro Rodriguez, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

6673 Issued in PR

Practice address

Carretera 891, KM 1.4, Barrio Pueblo
Corozal, PR 00783-2327

Phone

(787) 859-2894

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1023111689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9032",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009609032",
            "telephone_number": "787-798-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 891, KM 1.4, BARRIO PUEBLO",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007832327",
            "telephone_number": "787-859-2894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Calle Venus",
            "address_2": "Suite #2, El Verde",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007256314",
            "country_code": "US",
            "telephone_number": "787-746-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDELMIRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "6673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johany Rodriguez Vazquez, PHARMD
• Wilka Marier Rodriguez-Maldona
• Ana Victoria Rodriguez-Vazquez, CSW
• Betty Rodriguez, M.D.
• Darisabel Rodriguez, D.P.T.
• Kiaranette Rodriguez
• Leychka Michelle Rodriguez, MD
• Maria L Rojas, MD
• Eliezer Lopez Roman
• Angel Luis Rosa, M.D.

• Psychiatry Physician in Corozal, PR
• Providers in Corozal, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.