Active NPI
Evelyn Judith Rodriguez, M.D.
- General Practice Physician
- Cidra, PR
National Provider Identifier
1124084173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14988
- Practice address
- 3 Calle Francisco Cruz
Cidra, PR 00739-3419 - Phone
- (787) 739-5099
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 14988 | PR | |
| General Practice Physician | 208D00000X | 14988 | PR | Primary |
Addresses
Primary practice location
3 Calle Francisco Cruz
Cidra, PR 00739-3419
Mailing address
HC 71 Box 1475
Naranjito, PR 00719-9800
Phone (787) 638-3398
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1124084173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 71 BOX 1475",
"city": "NARANJITO",
"state": "PR",
"postal_code": "007199800",
"telephone_number": "787-638-3398",
"fax_number": "787-739-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CALLE FRANCISCO CRUZ",
"city": "CIDRA",
"state": "PR",
"postal_code": "007393419",
"telephone_number": "787-739-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "EVELYN",
"middle_name": "JUDITH",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PR",
"license": "14988",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.