Individual provider Active NPI

Karla Cristina Rodriguez, M.D.

  • General Practice Physician
  • Utuado, PR
National Provider Identifier
1164688065
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17191 Issued in PR
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.