Active NPI
Manuel Antonio Rodriguez, RN
- Registered Nurse
- Bayamon, PR
National Provider Identifier
1154188795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 101668
- Practice address
- 864
44D
Bayamon, PR 00959-0069 - Phone
- (939) 400-4346
- NPI assigned
- Feb 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 101668 | PR | Primary |
Addresses
Primary practice location
864
44D
Bayamon, PR 00959-0069
Mailing address
Colinas del Marques
D 26 CLL Merced
Vega Baja, PR 00693
Phone (939) 400-4346
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101668 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1154188795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COLINAS DEL MARQUES",
"address_2": "D 26 CLL MERCED",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "939-400-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "864",
"address_2": "44D",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009590069",
"telephone_number": "939-400-4346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MANUEL",
"middle_name": "ANTONIO",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-29",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "101668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.