Individual provider Active NPI

Angel Miguel Rodriguez Rivera, M.D,

  • Surgical Oncology Physician
  • San Juan, PR
National Provider Identifier
1134419161
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
18873 Issued in PR
Practice address
29 Washington Street
Ste 601-602 Ashford Medical Ctr
San Juan, PR 00907-1521
Phone
(787) 249-9560
Fax
(509) 275-5604
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 18873 PR
Surgical Oncology Physician 2086X0206X 18873 PR Primary

Addresses

Primary practice location

29 Washington Street
Ste 601-602 Ashford Medical Ctr
San Juan, PR 00907-1521

Mailing address

29 Washington Street
Ashford Medical Ctr Ste 601-602
San Juan, PR 00907
Phone (787) 249-9560

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
I20150207000347 PR Practitioner - General SurgeryPractitioner - Surgical Oncology 9032434303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Ponce School of Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29 Washington St
Ashford Med Ctr Suite 601/602
San Juan, PR 00907
Phone (787) 249-9560

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy14
Melanoma (skin cancer) excision33
Removal of skin lesions97
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18873PRMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Cancer Specialists Surgery CurrentSince Dec 1, 2014 Accepting new patients

Locations

1785 Carr 21
San Juan, PR 00921
Phone (787) 706-0981

Interoperability endpoints

  • Direct secure messaging: sjcanrodri@yourcarecommunity.org

Organizations & group practices 1

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1134419161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON STREET",
            "address_2": "ASHFORD MEDICAL CTR STE 601-602",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-249-9560",
            "fax_number": "509-275-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON STREET",
            "address_2": "STE 601-602 ASHFORD MEDICAL CTR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071521",
            "telephone_number": "787-249-9560",
            "fax_number": "509-275-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RIVERA",
        "first_name": "ANGEL",
        "middle_name": "MIGUEL",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "18873",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PR",
            "license": "18873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.