Active NPI
Jesus Rodriguez Rodriguez, MD
- Specialist
- Guaynabo, PR
National Provider Identifier
1144455353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3030
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3030 | PR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Prison Health Clinic/Center
- Guaynabo, PR
- NPI 1245437946
-
- Psychiatric Hospital
- Guaynabo, PR
- NPI 1578902193
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
- Peter Rodriguez Nazario, 1340P
- Hilda Rodriguez Nieves, D.M.D.
- Jose Rodriguez Pabon, 0782B
- Cindy Rodriguez Rivera, 1545P
- Jorge Rodriguez Rivera
- Jose A Rodriguez Rodriguez, 1650P
- Kevin Rodriguez Rodriguez, 1404P
- Carmen Rocio Rodriguez Ruiz, M.D.
- Maria Alejandra Rodriguez Santiago, MD
- Vivian Rodriguez Silva, 1119P
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.