Anibal A Rodriguez, MD
Individual provider Active NPI General Practice Physician · Bayamon, PR
NPI 1114010147 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114010147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 12636 (PR)
- Practice address
- Calle Rossi Esq Degetau
Bayamon, PR 00960 - Phone
- (787) 798-4259
- Fax
- (787) 269-5230
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050825000272 | PR | Practitioner - General Practice | 6901837376 |
Reassigns benefits to 1 organization Practice locations: San Juan, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Municipio de Bayamon | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12636 | PR | Yes |
Addresses
Primary practice location
Calle Rossi Esq Degetau
Bayamon, PR 00960
Mailing address
PO Box 51036
Levittown Station
Toa Baja, PR 00950
Phone (787) 640-3815
Other providers in Bayamon, PR
- Amanda Gabrielle Rodriguez
- Ana Rodriguez
- Ana Loida Rodriguez
- Ana R Rodriguez
- Angelisse Rodriguez
- Aryam Nicole Rodriguez
- Blanca E. Rodriguez
- Bryan Alexander Rodriguez Sr.
- Carlos Javier Rodriguez
- Carmen M Rodriguez
All providers in Bayamon, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.