Carlos Rodriguez

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

17677 Issued in PR

Practice address

Programa Sida de San Juan
Ave Fernandez Juncos 1306
San Juan, PR 00908

Phone

(787) 480-3000

NPI assigned

Dec 13, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1093353633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37126",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009370126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROGRAMA SIDA DE SAN JUAN",
            "address_2": "AVE FERNANDEZ JUNCOS 1306",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00908",
            "telephone_number": "787-480-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 calle 72-18 villa carolina",
            "address_purpose": "LOCATION",
            "city": "carolina",
            "state": "PR",
            "postal_code": "00983",
            "country_code": "US",
            "telephone_number": "787-360-9299 x0126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PR",
            "license": "76664",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "PR",
            "license": "17677",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "PR",
            "license": "17677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnaldo I. Rodriguez, M.D.
• Azaria Maria Rodriguez, LPC
• Bianca Marie Rodriguez, MS
• Brenda Rodriguez, MD
• Brenda E Rodriguez, OPTICIAN
• Carlos Rafael Rodriguez, MA
• Cesar O Rodriguez, MSW
• Christian Rodriguez, MD
• Christian Jose Rodriguez
• Claudia Sofia Rodriguez

• Ambulatory Care Registered Nurse in San Juan, PR
• Providers in San Juan, PR by specialty
• Ambulatory Care Registered Nurse 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.