Individual provider Active NPI

Juan J Cirino Rodriguez

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1154523868
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15259 Issued in PR
Practice address
Street 5 C34
Flamboyan Gardens
Bayamon, PR 00959
Phone
(787) 203-3207
Fax
(787) 765-2423
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1722 FL
General Practice Physician 208D00000X 15259 PR Primary

Addresses

Primary practice location

Street 5 C34
Flamboyan Gardens
Bayamon, PR 00959

Mailing address

559 Chalets de la Playa
Vega Baja, PR 00693-9789
Phone (787) 203-3207

Other identifiers 2

IdentifierTypeStateIssuer
ACN1722OtherFLLICENCE
15259OtherPRLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041013000146 PR Practitioner - General Practice 0244290476 Reassigns benefits to 4 organizations
I20251013001630 FL Practitioner - General Practice 0244290476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instituto Medico del Norte IncGroup PAC ID 5597728816, 6 clinicians

Practice addresses (Care Compare)

Road 2 KM 39
Centro Medico Wilma N Vazquez
Vega Baja, PR 00693-4661
Phone (787) 858-1580

Hospital & facility affiliations

  • Centro Medico Wilma N Vazquez Hospital, Vega Baja, PR, CCN 400115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15259PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrate Community Health System CurrentSince Apr 1, 2017 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Oct 28, 2017 Accepting new patients
Advanced Internal Medicine Care, PA General Practice CurrentSince Oct 6, 2025 Accepting new patients
Integrate Community Health System, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Oct 28, 2017 Accepting new patients
Integrate Community Health System Current Accepting new patients

Locations

5425 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-3585

5245 US Highway 98 N
Lakeland, FL 33809
Phone (863) 606-1616

426 Calle Agueybana
San Juan, PR 00918
Phone (787) 238-5801

Organizations & group practices 8

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1154523868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 CHALETS DE LA PLAYA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006939789",
            "telephone_number": "787-203-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 5 C34",
            "address_2": "FLAMBOYAN GARDENS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-203-3207",
            "fax_number": "787-765-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRINO RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1722",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "ACN1722",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "15259",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.