Individual provider Active NPI

Kayra G Rodriguez I, NURSE

  • Licensed Practical Nurse
  • Caguas, PR
National Provider Identifier
1104271527
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
32788 Issued in PR
Practice address
114 Calle Oviedo
Ciudad Jardin de Bairoa
Caguas, PR 00727
Phone
(787) 210-7463
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 32788 PR Primary

Addresses

Primary practice location

114 Calle Oviedo
Ciudad Jardin de Bairoa
Caguas, PR 00727

Mailing address

114 Calle Oviedo
Ciudad Jardin de Bairoa
Caguas, PR 00727-1345
Phone (787) 210-7463

Other names 1

  • Mrs. Kayra G Rodriguez Professional name

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

State licenses

LicenseStateTypeSpecialty
32788PRMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1104271527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CALLE OVIEDO",
            "address_2": "CIUDAD JARDIN DE BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271345",
            "telephone_number": "787-210-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CALLE OVIEDO",
            "address_2": "CIUDAD JARDIN DE BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-210-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KAYRA",
        "middle_name": "G",
        "name_suffix": "I",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PR",
            "license": "32788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYRA",
            "last_name": "RODRIGUEZ",
            "middle_name": "G",
            "prefix": "MRS.",
            "credential": "NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.