Individual provider Active NPI

Angel D. Nazario-Rodriguez, M.D.

  • Obstetrics & Gynecology Physician
  • Cayey, PR
National Provider Identifier
1124135785
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14850 Issued in PR
Practice address
Carr 14 Interior KM 0.3
Centro Medico Menonita Edificio Profesional Suite 311
Cayey, PR 00736
Phone
(787) 738-9938
Fax
(787) 738-9939
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 14850 PR Primary

Addresses

Primary practice location

Carr 14 Interior KM 0.3
Centro Medico Menonita Edificio Profesional Suite 311
Cayey, PR 00736

Mailing address

PO Box 1775
Cidra, PR 00739-1775
Phone (787) 738-9938

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051011000826 PR Practitioner - Obstetrics/Gynecology 3072538891 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14850PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced OB-GYN PSC Obstetrics & Gynecology CurrentSince Mar 7, 2014 Accepting new patients
Hospital Menonita de Cayey Past Accepting new patients
Lba Medical Services Inc General Practice Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1124135785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1775",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391775",
            "telephone_number": "787-738-9938",
            "fax_number": "787-738-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 14 INTERIOR KM 0.3",
            "address_2": "CENTRO MEDICO MENONITA EDIFICIO PROFESIONAL SUITE 311",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-738-9938",
            "fax_number": "787-738-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO-RODRIGUEZ",
        "first_name": "ANGEL",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "14850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.