Individual provider Active NPI

Pedro Santiago Rodriguez, M.D.

  • Cardiovascular Disease Physician
  • Ponce, PR
National Provider Identifier
1083007264
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
19920 Issued in PR
Practice address
2431 Blvd Luis a Ferre Edificio Porrata Pila Ste 101
Ponce, PR 00717-2114
Phone
(787) 651-4514
NPI assigned
Mar 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19920 PR
Cardiovascular Disease Physician 207RC0000X 19920 PR Primary

Addresses

Primary practice location

2431 Blvd Luis a Ferre Edificio Porrata Pila Ste 101
Ponce, PR 00717-2114

Mailing address

2431 Blvd Luis a Ferre Ste 101
Ponce, PR 00717-2114
Phone (787) 651-4514

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
I20200406000273 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4688985997 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2431 Blvd Luis a Ferre
Ponce, PR 00717-2113
Phone (787) 651-5859

Hospital & facility affiliations

  • Hospital Metropolitano Dr Pila Home Care Home health agency, Ponce, PR, CCN 407003
  • Hospital Metropolitano Dr Pila Hospital, Ponce, PR, CCN 400003
  • Hospital Pavia Yauco Hospital, Yauco, PR, CCN 400110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Auxilio Mutuo Past Accepting new patients
Metro Ponce Inc Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1083007264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 BLVD LUIS A FERRE STE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172114",
            "telephone_number": "787-651-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 BLVD LUIS A FERRE EDIFICIO PORRATA PILA STE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172114",
            "telephone_number": "787-651-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO RODRIGUEZ",
        "first_name": "PEDRO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-11",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19920",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "19920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.