Individual provider Active NPI

Juan Miguel Rodriguez, MD

  • Rheumatology Physician
  • Bayamon, PR
National Provider Identifier
1083623631
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
12878 Issued in PR
Practice address
Edif Medico Hnas Davila Ofic 106
Calle B Esq J16 Villa Rica
Bayamon, PR 00959
Phone
(787) 785-7144
Fax
(787) 798-1668
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 12878 PR Primary

Addresses

Primary practice location

Edif Medico Hnas Davila Ofic 106
Calle B Esq J16 Villa Rica
Bayamon, PR 00959

Mailing address

PO Box 8055
Bayamon, PR 00960-8055
Phone (787) 785-7144

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
I20100324000738 PR Practitioner - RheumatologyPractitioner - Internal Medicine 6002941499 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR; Guayama, PR; Guaynabo, PR; Villa Rica, PR

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 Calle Tropical
Guaynabo, PR 00969-3703
Phone (787) 272-9575

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Health Corporation Rheumatology CurrentSince Aug 20, 2024 Accepting new patients
Marta Rodriguez 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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1083623631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8055",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608055",
            "telephone_number": "787-785-7144",
            "fax_number": "787-798-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF MEDICO HNAS DAVILA OFIC 106",
            "address_2": "CALLE B ESQ J16 VILLA RICA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-785-7144",
            "fax_number": "787-798-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "12878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.