Active NPI
Maricely Rodriguez Rodriguez Sr.
- General Practice Registered Nurse
- San Juan, PR
National Provider Identifier
1063070456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 34730
- Practice address
- MMM Plaza Bechara Industrial Park
411 Ave Marginal Kennedy
San Juan, PR 00936 - Phone
- (787) 622-3000
- Fax
- (787) 999-1767
- NPI assigned
- May 31, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 34730 | PR | Primary |
Addresses
Primary practice location
MMM Plaza Bechara Industrial Park
411 Ave Marginal Kennedy
San Juan, PR 00936
Mailing address
Urbanizacion Country Club
1165 Olivia Paoli
San Juan, PR 00924
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34730 | PR | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1063070456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION COUNTRY CLUB",
"address_2": "1165 OLIVIA PAOLI",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MMM PLAZA BECHARA INDUSTRIAL PARK",
"address_2": "411 AVE MARGINAL KENNEDY",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-622-3000",
"fax_number": "787-999-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARICELY",
"middle_name": "RODRIGUEZ",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-31",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "PR",
"license": "34730",
"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 May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.