Active NPI
Jaime Rodriguez, O.D.
- Optometrist
- Yauco, PR
National Provider Identifier
1114923216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 524
- Practice address
- 550 Carr 128
Ste 106
Yauco, PR 00698-4434 - Phone
- (787) 267-7829
- Fax
- (787) 267-7829
- NPI assigned
- Jun 23, 2005
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 524 | PR | Primary |
Addresses
Primary practice location
550 Carr 128
Ste 106
Yauco, PR 00698-4434
Mailing address
PO Box 283
Mercedita, PR 00715-0283
Phone (787) 267-7829
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7127 | Other | PR | FIRST MEDICAL CARD |
| 55421RO | Other | PR | TRIPLE S |
| 890158 | Other | PR | MMM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perez Eye and Retina LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Ponce, PR
- NPI 1588673727
-
- Retina Specialist (Ophthalmology) Physician
- Ponce, PR
- NPI 1801763032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1114923216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 283",
"city": "MERCEDITA",
"state": "PR",
"postal_code": "007150283",
"telephone_number": "787-267-7829",
"fax_number": "787-267-7829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 CARR 128",
"address_2": "STE 106",
"city": "YAUCO",
"state": "PR",
"postal_code": "006984434",
"telephone_number": "787-267-7829",
"fax_number": "787-267-7829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JAIME",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL CARD",
"identifier": "7127",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "55421RO",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "890158",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yauco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.