Individual provider Active NPI

Vanessa Rodriguez-Mier, M.D.

  • Cardiovascular Disease Physician
  • Ponce, PR
National Provider Identifier
1124362850
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
19080 Issued in PR
Practice address
Torre Medica San Lucas
909 Ave. Tito Castro Ste 522
Ponce, PR 00716
Phone
(787) 259-3373
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19080 PR
Cardiovascular Disease Physician 207RC0000X 19080 PR Primary

Addresses

Primary practice location

Torre Medica San Lucas
909 Ave. Tito Castro Ste 522
Ponce, PR 00716

Mailing address

PO Box 7502
Ponce, PR 00732-7502
Phone (787) 259-3373

Other identifiers 1

IdentifierTypeStateIssuer
19080OtherPRMEDICAL LIC

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
I20151116000902 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103136585 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Ponce School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ponce Cardiovascular Services, PSCGroup PAC ID 4486817715, 2 clinicians

Practice addresses (Care Compare)

909 Ave Tito Castro
Ponce, PR 00716-4728
Phone (787) 259-3373

Avenida Tito Castro
909 Torre Medica San Lucas 522
Ponce, PR 00716-4728

Hospital & facility affiliations

  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ponce Cardiovascular Services, PSC Cardiovascular Disease CurrentSince Nov 3, 2021 Accepting new patients
Caribbean Cardio Health LLC Cardiovascular Disease Current Accepting new patients

Locations

909 Ave Tito Castro
Ste 522
Ponce, PR 00716
Phone (787) 259-3373

917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1124362850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7502",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327502",
            "telephone_number": "787-259-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA SAN LUCAS",
            "address_2": "909 AVE. TITO CASTRO STE 522",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-259-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-MIER",
        "first_name": "VANESSA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19080",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "19080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "19080",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.