Active NPI
Angel Miguel Rodriguez Rivera, M.D,
- Surgical Oncology Physician
- San Juan, PR
National Provider Identifier
1134419161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 18873
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- 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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 14 |
| Melanoma (skin cancer) excision | 33 |
| Removal of skin lesions | 97 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18873 | PR | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Cancer Specialists | Surgery | Current | Accepting new patients |
Locations
1785 Carr 21
San Juan, PR 00921
Phone (787) 706-0981
Interoperability endpoints
- 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
- Melba Rodriguez Ramos
- Roberto Jose Rodriguez Ramos
- Victor Andres Rodriguez Rapale
- Sheyla Esperanza Rodriguez Riera
- Adalberto Rodriguez Rivera, OD
- Ayuburi Rodriguez Rivera, PHARMD
- Emmanuel Jose Rodriguez Rivera
- Kenneth Josue Rodriguez Rivera, MD
- Luis Alberto Rodriguez Rivera, M.D.
- Natalie Rodriguez Rivera
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.