Active NPI
Erick Jr Rodriguez
- Administrator Registered Nurse
- Carolina, PR
National Provider Identifier
1104507433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 85121
- Practice address
- 10 Ave, 44 Ave Laguna Ste, 101a
Carolina, PR 00979 - Phone
- (787) 791-7287
- NPI assigned
- Jul 28, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 85121 | PR | Primary |
Addresses
Primary practice location
10 Ave, 44 Ave Laguna Ste, 101a
Carolina, PR 00979
Mailing address
Cond. Alturas del Parque Apto. 1706
202 Boul. Media Luna
Carolina, PR 00987
Phone (787) 349-9428
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
| License | State | Type | Specialty |
|---|---|---|---|
| 85121 | PR | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1104507433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. ALTURAS DEL PARQUE APTO. 1706",
"address_2": "202 BOUL. MEDIA LUNA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-349-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 AVE, 44 AVE LAGUNA STE, 101A",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00979",
"telephone_number": "787-791-7287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ERICK",
"middle_name": "JR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "PR",
"license": "85121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.