Active NPI
Yancy I Rodriguez Reyes
- Emergency Registered Nurse
- Mayaguez, PR
National Provider Identifier
1114813912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 102588
- Practice address
- HC 6 Box 62065
Mayaguez, PR 00680-9553 - Phone
- (939) 289-6529
- NPI assigned
- Jun 17, 2025
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 102588 | PR | Primary |
Addresses
Primary practice location
HC 6 Box 62065
Mayaguez, PR 00680-9553
Mailing address
HC 6 Box 62065
Mayaguez, PR 00680-9553
Phone (939) 289-6529
Other practice location 1
Carr. #2 Km 173.4
San German, PR 00683
Phone (939) 289-6529
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 |
|---|---|---|---|
| 102588 | PR | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1114813912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 6 BOX 62065",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006809553",
"telephone_number": "939-289-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 6 BOX 62065",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006809553",
"telephone_number": "939-289-6529"
}
],
"practiceLocations": [
{
"address_1": "Carr. #2 Km 173.4",
"address_purpose": "LOCATION",
"city": "San German",
"state": "PR",
"postal_code": "00683",
"country_code": "US",
"telephone_number": "939-289-6529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ REYES",
"first_name": "YANCY",
"middle_name": "I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "PR",
"license": "102588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- Carlos J Rodriguez Matos
- Milagros Rodriguez Negron, BSPH
- Elsie Maria Rodriguez Palermo, PSYD, MA
- Edwin Rodriguez Perez, M.A.
- Jalitza Rodriguez Quiles, PHARMD
- Selena Marie Rodriguez Rivera
- Denisse Maria Rodriguez Rodriguez, PHARMD
- Maria F Rodriguez Rosario, M.D.
- Rafael E Rodriguez Sanchez
- Gabriel Alejandro Rodriguez Sarraga
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.