Active NPI
Olga L Rodriguez-Rivera, M.D.
- Specialist
- Bayamon, PR
National Provider Identifier
1093781692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3310
- Practice address
- Bayamon Medical PLZ
Suite 607
Bayamon, PR 00959-7200 - Phone
- (787) 780-0300
- Fax
- (787) 269-5060
- NPI assigned
- Feb 24, 2006
- Last updated
- Feb 26, 2009
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 3310 | PR | Primary |
Addresses
Primary practice location
Bayamon Medical PLZ
Suite 607
Bayamon, PR 00959-7200
Mailing address
Bayamon Medical PLZ
Suite 607
Bayamon, PR 00959-7200
Phone (787) 780-0300
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064383 | Other | PR | LA CRUZ AZUL PUERTO RICO |
| 204015 | Other | PR | 204015 |
| 7975 | Other | PR | AMPR |
| 6190065 | Other | PR | HUMANA INSURANCE |
| 990557 | Other | PR | MEDICARE MUCHO MAS |
| PE0118 | Other | PR | PALI |
| 0333310 | Other | PR | UIA |
| 3853486 | Other | PR | CIGNA |
| 6362 | Other | PR | IMC |
| 74529 | Other | PR | ATLA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3310 | PR | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto de Cuidado del Seno | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Bayamon, PR
- NPI 1225013402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1093781692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BAYAMON MEDICAL PLZ",
"address_2": "SUITE 607",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009597200",
"telephone_number": "787-780-0300",
"fax_number": "787-269-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAYAMON MEDICAL PLZ",
"address_2": "SUITE 607",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009597200",
"telephone_number": "787-780-0300",
"fax_number": "787-269-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-RIVERA",
"first_name": "OLGA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "3310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL PUERTO RICO",
"identifier": "064383",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "204015",
"identifier": "204015",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMPR",
"identifier": "7975",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "6190065",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MUCHO MAS",
"identifier": "990557",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALI",
"identifier": "PE0118",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "0333310",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3853486",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC",
"identifier": "6362",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLA",
"identifier": "74529",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Darius Rodriguez-Marquez, DMD
- Adianette Paola Rodriguez-Perez
- Pedro Javier Rodriguez-Ramirez
- Luz M. Rodriguez-Ramos, M.D.
- Ismael Rodriguez-Rivera, MD, BC
- Ivette Rodriguez-Ruiz, MD
- Diomedes Rafael Rodriguez-Vargas, M.D.
- Gloria Maria Rodriguez-Vega, MD
- Jose R Rodriguez-Vega, M.D.
- Rafael Xavier Rodriguez-Werner, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.