Individual provider Active NPI

Wilma Rodriguez Mojica, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1033211289
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3789 Issued in PR
Practice address
Fernandez Street No. 6 , Third Floor
San Juan, PR 00918-4411
Phone
(787) 763-6336
Fax
(787) 763-6207
NPI assigned
Sep 1, 2006
Last updated
Jun 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3789 PR Primary
Diagnostic Ultrasound Physician 2085U0001X 3789 PR

Addresses

Primary practice location

Fernandez Street No. 6 , Third Floor
San Juan, PR 00918-4411

Mailing address

Fernandez Street No. 6 , Third Floor
San Juan, PR 00918-4411
Phone (787) 763-6336

Other identifiers 1

IdentifierTypeStateIssuer
25434OtherPRTRIPLE S

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
I20110822000061 PR Practitioner - Diagnostic Radiology 5799954012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, shared by 49 NPIs, 246 clinicians

Practice addresses (Care Compare)

65 Infanteria Ave
Carr 3 KM 8.3
Carolina, PR 00984
Phone (787) 757-6420

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3789PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince Sep 10, 2021 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Apr 5, 2017 Accepting new patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince Apr 5, 2017 Accepting new patients

Locations

Asem
San Juan, PR 00935

Organizations & group practices 3

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 1

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1033211289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FERNANDEZ STREET NO. 6 , THIRD FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184411",
            "telephone_number": "787-763-6336",
            "fax_number": "787-763-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FERNANDEZ STREET NO. 6 , THIRD FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184411",
            "telephone_number": "787-763-6336",
            "fax_number": "787-763-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MOJICA",
        "first_name": "WILMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "3789",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "3789",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "25434",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.