Freddie Rodriguez

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1467 Issued in PR

Practice address

2707 Calle Don Diego
Villa Flores
Ponce, PR 00716-2921

Phone

(787) 671-8572

Fax

(787) 651-6339

NPI assigned

Jul 23, 2007

Last updated

Apr 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: freddie.rodriguezquintana.p1@direct.vitacare.nextgenshare.com

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.

• Vita Care,LLC

  • Health Service Clinic/Center
  • San Juan, PR
  • NPI 1437693017
  Medicare reassignment NPD

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1063612471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CALLE B",
            "address_2": "BELLA VSITA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007302023",
            "telephone_number": "787-671-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 CALLE DON DIEGO",
            "address_2": "VILLA FLORES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162921",
            "telephone_number": "787-671-8572",
            "fax_number": "787-651-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "FREDDIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Aixa Rodriguez, MPT
• Enrique Rodriguez, M.D.
• Etervina Rodriguez
• Francisco Rodriguez, MD
• Francisco Alejandro Rodriguez
• Gerardo Rodriguez
• Harold Omar Rodriguez, TH
• Hector L Rodriguez Sr., M.D. PSYCHIATRIST
• Hector Manuel Rodriguez, MD
• Iris Rodriguez

• Nutritionist in Ponce, PR
• Providers in Ponce, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.