Individual provider Active NPI

Marangely Rodriguez, M.D.

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1033186234
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14543 Issued in PR
Practice address
Ave Font Martelo #303
Humacao, PR 00791
Phone
(787) 931-7555
Fax
(407) 386-7022
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14543 PR Primary

Addresses

Primary practice location

Ave Font Martelo #303
Humacao, PR 00791

Mailing address

PO Box 688
Naguabo, PR 00718-0688
Phone (787) 374-6655

Other practice location 1

CSC
Box 694
Culebra, PR 00775
Phone (787) 742-0001

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
I20060123000432 PR Practitioner - General Practice 8628092210 Practice locations: Humacao, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14543PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Higea LLC Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1033186234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007180688",
            "telephone_number": "787-374-6655",
            "fax_number": "787-852-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE FONT MARTELO #303",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-931-7555",
            "fax_number": "407-386-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CSC",
            "address_2": "Box 694",
            "address_purpose": "LOCATION",
            "city": "Culebra",
            "state": "PR",
            "postal_code": "00775",
            "country_code": "US",
            "telephone_number": "787-742-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARANGELY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.