Organization Active NPI

Dr Enrique Rodriguez Declet LLC

  • Gynecology Physician
  • Caguas, PR
National Provider Identifier
1083163596
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
6248 Issued in PR
Legal business name
DR ENRIQUE RODRIGUEZ DECLET LLC
Practice address
C2 Calle Jose Villares
Urb Paradis
Caguas, PR 00725
Phone
(178) 762-6527
Fax
(787) 258-2545
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Dr. Enrique Rodriguez, M.D.
Title
Member
Phone
(787) 626-5272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 792 PR
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X 6248 PR Primary

Addresses

Primary practice location

C2 Calle Jose Villares
Urb Paradis
Caguas, PR 00725

Mailing address

PO Box 6059
Caguas, PR 00726-6059
Phone (178) 762-6527

National Provider Directory

National Provider Directory

Locations

2 Calle Jose Villares
Caguas, PR 00725

C2 Ave Jose Villares
Caguas, PR 00725
Phone (787) 626-5272

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1083163596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6059",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266059",
            "telephone_number": "178-762-6527",
            "fax_number": "787-258-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C2 CALLE JOSE VILLARES",
            "address_2": "URB PARADIS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "178-762-6527",
            "fax_number": "787-258-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ENRIQUE RODRIGUEZ DECLET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "17876265272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "792",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "6248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.