Individual provider Active NPI

Angel Luis Martinez Rodriguez, MSN-ED CERN

  • Critical Care Medicine Registered Nurse
  • Caguas, PR
National Provider Identifier
1043088446
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
03882 Issued in PR
Practice address
Urbanizacion Turabo Garden Carretera 172 Salida 21
Escuela de Medicina San Juan Bautista
Caguas, PR 00725-0072
Phone
(787) 337-4208
NPI assigned
Dec 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroscience Registered Nurse 163WN0800X 03882 PR
Critical Care Medicine Registered Nurse 163WC0200X 03882 PR Primary

Addresses

Primary practice location

Urbanizacion Turabo Garden Carretera 172 Salida 21
Escuela de Medicina San Juan Bautista
Caguas, PR 00725-0072

Mailing address

PO Box 370566
Cayey, PR 00737-0566
Phone (939) 282-0085

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

State licenses

LicenseStateTypeSpecialty
03882PRMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1043088446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370566",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007370566",
            "telephone_number": "939-282-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION TURABO GARDEN CARRETERA 172 SALIDA 21",
            "address_2": "ESCUELA DE MEDICINA SAN JUAN BAUTISTA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250072",
            "telephone_number": "787-337-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ RODRIGUEZ",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "name_prefix": "Prof.",
        "credential": "MSN-ED CERN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "PR",
            "license": "03882",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PR",
            "license": "03882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.