Individual provider Active NPI

Jesus Rodriguez Rodriguez, MD

  • Specialist
  • Guaynabo, PR
National Provider Identifier
1144455353
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3030 Issued in PR
Practice address
18 Calle 1
Suite 400
Guaynabo, PR 00968-1768
Phone
(787) 774-3344
Fax
(787) 774-0549
NPI assigned
May 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3030 PR Primary
Psychiatric Hospital Unit 273R00000X 3030 PR

Addresses

Primary practice location

18 Calle 1
Suite 400
Guaynabo, PR 00968-1768

Mailing address

Au17 Calle Rio Turabo
Valle Verde
Bayamon, PR 00961-3262
Phone (787) 261-6006

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3030PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Programa de Servicios de Salud Correccional Past Accepting new patients
Correctional Health Services Corporation Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1144455353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AU17 CALLE RIO TURABO",
            "address_2": "VALLE VERDE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613262",
            "telephone_number": "787-261-6006",
            "fax_number": "787-261-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE 1",
            "address_2": "SUITE 400",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681768",
            "telephone_number": "787-774-3344",
            "fax_number": "787-774-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RODRIGUEZ",
        "first_name": "JESUS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "3030",
            "primary": true
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PR",
            "license": "3030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.