Active NPI
Vilmarie Rodriguez, MD
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1093918179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15192
- Practice address
- Carr 167 KM 11 0
Bo Dajaos
Bayamon, PR 00956 - Phone
- (787) 730-3446
- Fax
- (787) 730-3446
- NPI assigned
- Jun 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 15192 | PR | Primary |
Addresses
Primary practice location
Carr 167 KM 11 0
Bo Dajaos
Bayamon, PR 00956
Mailing address
HC 74 Box 5697
Barrio Guadiana
Naranjito, PR 00719-7491
Phone (787) 869-6494
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22662RO | Other | PR | TRIPLE SSS |
| 500503E | Other | PR | MEDICARE MUCHO MAS |
| 9500838 | Other | PR | LA CRUZ AZUL DE PUERTO RI |
| 4210 | Other | PR | PMC MEDICARE CHOICE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dajaos Medical Center CSP | 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.
-
- Clinic/Center
- Bayamon, PR
- NPI 1528222676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093918179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 74 BOX 5697",
"address_2": "BARRIO GUADIANA",
"city": "NARANJITO",
"state": "PR",
"postal_code": "007197491",
"telephone_number": "787-869-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 167 KM 11 0",
"address_2": "BO DAJAOS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-730-3446",
"fax_number": "787-730-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "VILMARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE SSS",
"identifier": "22662RO",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MUCHO MAS",
"identifier": "500503E",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL DE PUERTO RI",
"identifier": "9500838",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMC MEDICARE CHOICE",
"identifier": "4210",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.