Individual provider Active NPI

Reinaldo Rios Rodriguez

  • General Practice Physician
  • Vega Alta, PR
National Provider Identifier
1063631901
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12779 Issued in PR
Practice address
4 Calle Munoz Rivera
Vega Alta, PR 00692-6501
Phone
(787) 855-1706
Fax
(787) 855-9281
NPI assigned
Apr 25, 2007
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12779 PR Primary

Addresses

Primary practice location

4 Calle Munoz Rivera
Vega Alta, PR 00692-6501

Mailing address

84 Calle Crisantemo
Ojo de Agua
Vega Baja, PR 00693-4111
Phone (787) 855-1706

Other names 1

  • Reinaldo Rios Rodriguez Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000453 PR Practitioner - General Practice 7012982820 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1063631901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CALLE CRISANTEMO",
            "address_2": "OJO DE AGUA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934111",
            "telephone_number": "787-855-1706",
            "fax_number": "787-855-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE MUNOZ RIVERA",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926501",
            "telephone_number": "787-855-1706",
            "fax_number": "787-855-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS RODRIGUEZ",
        "first_name": "REINALDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REINALDO",
            "last_name": "RIOS RODRIGUEZ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.