Individual provider Active NPI

Vicmari Arce Rodriguez, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
National Provider Identifier
1164694196
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
17987 Issued in PR
Practice address
300 Ave Domenech
San Juan, PR 00918-3509
Phone
(787) 765-7320
Fax
(787) 765-3230
NPI assigned
Mar 31, 2008
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 17987 PR Primary

Addresses

Primary practice location

300 Ave Domenech
San Juan, PR 00918-3509

Mailing address

PO Box 366527
San Juan, PR 00936-6527
Phone (787) 765-7320

Other names 1

  • Dr. Vicmari Arce Rodriguez Professional name

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
I20110913000534 PR Practitioner - Pathology 1052582541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hato Rey Pathology Associates IncGroup PAC ID 6608959804, 21 clinicians

Practice addresses (Care Compare)

1451 Ave Ashford
San Juan, PR 00907-1511
Phone (787) 723-2322

300 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

302 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

304 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

570 Calle Juan J Jimenez
San Juan, PR 00918-3722
Phone (787) 765-7320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17987PRMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hato Rey Pathology Associates Inc CurrentSince Aug 8, 2011 Accepting new patients
Hato Rey Pathology Associates,PSC Past Accepting new patients

Locations

300 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 758-3220

570 Calle Juan J Jimenez
San Juan, PR 00918
Phone 7877657320 ext. 225

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1164694196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366527",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366527",
            "telephone_number": "787-765-7320",
            "fax_number": "787-765-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183509",
            "telephone_number": "787-765-7320",
            "fax_number": "787-765-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCE RODRIGUEZ",
        "first_name": "VICMARI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "17987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICMARI",
            "last_name": "ARCE RODRIGUEZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.