Active NPI
Karla Cristina Rodriguez, M.D.
- General Practice Physician
- Utuado, PR
National Provider Identifier
1164688065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17191
- Practice address
- 83 Calle Dr Cueto
Villa Los Santos
Utuado, PR 00641-2804 - Phone
- (787) 878-1755
- NPI assigned
- Jul 31, 2008
- Last updated
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 17191 | PR | Primary |
Addresses
Primary practice location
83 Calle Dr Cueto
Villa Los Santos
Utuado, PR 00641-2804
Mailing address
Calle 22 # Ee-8
Villa Los Santos
Arecibo, PR 00612-3128
Phone (787) 878-1755
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081112000178 | PR | Practitioner - General Practice | 0042379646 | Practice locations: Utuado, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratorio Clinico Bacteriologico Santiago Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Utuado, PR
- NPI 1740517911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1164688065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 22 # EE-8",
"address_2": "VILLA LOS SANTOS",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006123128",
"telephone_number": "787-878-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 CALLE DR CUETO",
"address_2": "VILLA LOS SANTOS",
"city": "UTUADO",
"state": "PR",
"postal_code": "006412804",
"telephone_number": "787-878-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KARLA",
"middle_name": "CRISTINA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "17191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utuado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.