Active NPI
Kendra Ivette Rodriguez Perez
- General Practice Physician
- San German, PR
National Provider Identifier
1174330195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24985
- Practice address
- PO Box 285
San German, PR 00683-0285 - Phone
- (787) 892-1860
- NPI assigned
- Dec 12, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 24985 | PR | Primary |
Addresses
Primary practice location
PO Box 285
San German, PR 00683-0285
Mailing address
8450 W Charleston Blvd Apt 1053
Las Vegas, NV 89117-9012
Phone (702) 912-6255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1174330195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8450 W CHARLESTON BLVD APT 1053",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891179012",
"telephone_number": "702-912-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 285",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006830285",
"telephone_number": "787-892-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ PEREZ",
"first_name": "KENDRA",
"middle_name": "IVETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-12",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "24985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San German, PR
- Celina Del Rosario Rodriguez Aponte
- Ilia I. Rodriguez Baez, PHD
- Caroline Rodriguez Ferrer, MD
- Ricardo Rodriguez Gonzalez, MSN
- Alondra I Rodriguez Martinez
- Wanda Milagros Rodriguez Roman, MSW
- Carlos Eduardo Rodriguez Sanchez, M.D.
- Melissa Rodriguez Sanchez, PHD
- Javier Elias Rodriguez Soto
- Damaris Rodriguez Torres, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.