Active NPI
Ruth E Rodriguez, M.D.
- General Practice Physician
- Trujillo Alto, PR
National Provider Identifier
1093774085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5363
- Practice address
- Bo. Dos Bocas
Carr. 181 KM. 9.1
Trujillo Alto, PR 00976 - Phone
- (787) 760-5545
- Fax
- (787) 760-5545
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5363 | PR | Primary |
Addresses
Primary practice location
Bo. Dos Bocas
Carr. 181 KM. 9.1
Trujillo Alto, PR 00976
Mailing address
Urb. Country Club
1007 Calle Carmen Buzello
San Juan, PR 00924
Phone (787) 760-5545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5363 | Other | PR | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5363 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093774085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. COUNTRY CLUB",
"address_2": "1007 CALLE CARMEN BUZELLO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-760-5545",
"fax_number": "787-760-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO. DOS BOCAS",
"address_2": "CARR. 181 KM. 9.1",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-760-5545",
"fax_number": "787-760-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RUTH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "5363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5363",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.