Maristely Rodriguez Roa, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

18792 Issued in PR

Practice address

University of Puerto Rico, Medical Sciences Campus
Department of Medicine
San Juan, PR 00936

Phone

(787) 759-8252

NPI assigned

Jul 30, 2010

Last updated

Apr 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

University of Puerto Rico School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1164736344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 CAMINO DE AGUIRRE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006463648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF PUERTO RICO, MEDICAL SCIENCES CAMPUS",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-759-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ ROA",
        "first_name": "MARISTELY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PR",
            "license": "18792",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Alberto Rodriguez Rivera, M.D.
• Natalie Rodriguez Rivera
• Natividad Rodriguez Rivera, MD
• Raymond Rodriguez Rivera, DMD
• Alvaro Rodriguez Roa, MD
• Kariana Rodriguez Rosado, PHD
• Marisol Rodriguez Rosado, OT
• Victor Guillermo Rodriguez Rossello, MD
• Kamila N. Rodriguez Rubero
• Lydia Carolina Rodriguez Ruiz, MA, LP

• Allergy Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Allergy Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.