Active NPI
Andrea S Rodriguez Rolon, DMD
- Pediatric Dentistry
- Ponce, PR
National Provider Identifier
1043052061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3564
- Practice address
- 1123 Avenida Hostos
Edificio Go Gogo Foundation
Ponce, PR 00780 - Phone
- (939) 422-2142
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3564 | PR | |
| Pediatric Dentistry | 1223P0221X | 3564 | PR | Primary |
Addresses
Primary practice location
1123 Avenida Hostos
Edificio Go Gogo Foundation
Ponce, PR 00780
Mailing address
305 Calle 20
Guaynabo, PR 00969-4451
Phone (787) 466-7289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1043052061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 CALLE 20",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694451",
"telephone_number": "787-466-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 AVENIDA HOSTOS",
"address_2": "EDIFICIO GO GOGO FOUNDATION",
"city": "PONCE",
"state": "PR",
"postal_code": "00780",
"telephone_number": "939-422-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ ROLON",
"first_name": "ANDREA",
"middle_name": "S",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "3564",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PR",
"license": "3564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Aida Rodriguez Robles
- Alissa Marie Rodriguez Rodriguez
- Jesus W Rodriguez Rodriguez, M.D.
- Mariella Rodriguez Rodriguez
- Olga D Rodriguez Rodriguez, M.D.
- Isairy Rodriguez Roman, PSYD.
- Michaell O Rodriguez Rosa
- Daniel Eduardo Rodriguez Rossello, MD
- Carlos Manuel Rodriguez Roth, P.A.
- Marileana Rodriguez Ruiz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.