Individual provider Active NPI

Jorge Alejandro Rodriguez, M.D.

  • Internal Medicine Physician
  • Yauco, PR
National Provider Identifier
1023239001
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14397 Issued in PR
Practice address
7 Calle Pacheco S
Yauco, PR 00698-3507
Phone
(787) 856-1311
Fax
(787) 856-1311
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14397 PR Primary

Addresses

Primary practice location

7 Calle Pacheco S
Yauco, PR 00698-3507

Mailing address

18 Calle Amaury Veray
Yauco, PR 00698-3519
Phone (787) 856-1311

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
I20040617001230 PR Practitioner - General PracticePractitioner - Internal Medicine 8921082710 Reassigns benefits to 1 organization
Practice locations: Yauco, PR

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Calle Pacheco S
Yauco, PR 00698-3507
Phone (787) 856-1311

Hospital & facility affiliations

  • Hospital Pavia Yauco Hospital, Yauco, PR, CCN 400110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14397PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yauco Medical Center LLC Internal Medicine CurrentSince Dec 12, 2024 Accepting new patients

Organizations & group practices 1

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

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1023239001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CALLE AMAURY VERAY",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983519",
            "telephone_number": "787-856-1311",
            "fax_number": "787-856-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE PACHECO S",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983507",
            "telephone_number": "787-856-1311",
            "fax_number": "787-856-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JORGE",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.