Active NPI
Carlos A Castrodad-Rodriguez, MD
- Anatomic Pathology & Clinical Pathology Physician
- San Juan, PR
National Provider Identifier
1043767361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 23165
- Practice address
- Hato Rey Pathology
300 Calle Domenech
San Juan, PR 00918 - Phone
- (787) 765-7320
- NPI assigned
- Sep 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 23165 | PR | Primary |
Addresses
Primary practice location
Hato Rey Pathology
300 Calle Domenech
San Juan, PR 00918
Mailing address
RR 1 Box 2049
Cidra, PR 00739-2012
Phone (787) 415-8939
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230829002885 | PR | Practitioner - Pathology | 1557724309 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
239 Arterial Hostos 1a Sotano
Capital Center Torre 1
San Juan, PR 00918-1475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23165 | PR | MD | Legal Medicine (M.D./D.O.) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puerto Rico Pathology Associates P | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Laboratorio de Patologia Dr Noy | Current | Accepting new patients | |
| Hato Rey Pathology Associates,PSC | Past | Accepting new patients |
Locations
198 Calle Trinidad
Ste 102
San Juan, PR 00917
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- San Juan, PR
- NPI 1740246545
Anatomic Pathology & Clinical Pathology, PR
-
- Clinical Medical Laboratory
- San Juan, PR
- NPI 1568640449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1043767361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 2049",
"city": "CIDRA",
"state": "PR",
"postal_code": "007392012",
"telephone_number": "787-415-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HATO REY PATHOLOGY",
"address_2": "300 CALLE DOMENECH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-765-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRODAD-RODRIGUEZ",
"first_name": "CARLOS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-02",
"last_updated": "2023-10-11",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PR",
"license": "23165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.