Individual provider Active NPI

Roberto Jose Rodriguez Ramos

  • Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1154853604
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
21403 Issued in PR
Practice address
10 Calle Casia
Medical Service (111) Office C-274
San Juan, PR 00921-3200
Phone
(787) 641-7582
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 21403 PR Primary

Addresses

Primary practice location

10 Calle Casia
Medical Service (111) Office C-274
San Juan, PR 00921-3200

Mailing address

10 Casia Street VA Caribbean Healthcare System
Medical Service 111 Office C-274
San Juan, PR 00921

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620003441 PR Practitioner - Internal Medicine 2163880352 Reassigns benefits to 1 organization
Practice locations: Manati, PR; San Juan, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atenas Psychiatry Group PSC CurrentSince Jul 1, 2023 Accepting new patients
Gastro Atenas LLC Gastroenterology CurrentSince Jul 1, 2023 Accepting new patients

Locations

93 Paseo Atenas
Manati, PR 00674
Phone (787) 226-8142

Interoperability endpoints

  • Direct secure messaging: roberto.rodriguezramos@3242.securemail.prognocis.com

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1154853604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CASIA STREET VA CARIBBEAN HEALTHCARE SYSTEM",
            "address_2": "MEDICAL SERVICE 111 OFFICE C-274",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "address_2": "MEDICAL SERVICE (111) OFFICE C-274",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RAMOS",
        "first_name": "ROBERTO",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "21403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.