Edwin Rodriguez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

DM150128 Issued in PR

Practice address

Legacy Office Park Suite102
Carr 506, KM 0.75
Coto Laurel, PR 00780

Phone

(787) 259-1654

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• US Dept of HHS

  • Clinic/Center
  • Lame Deer, MT
  • NPI 1053487991
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1174667281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10614",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320614",
            "telephone_number": "787-259-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEGACY OFFICE PARK SUITE102",
            "address_2": "CARR 506, KM 0.75",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-259-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDWIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "DM150128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Joelly Rodriguez Baez, LCSW
• Cesar Manuel Rodriguez Perez, MD
• Raiza J Rodriguez Rios, PSY D.
• Helga I Rodriguez Rodriguez, MD
• Harry J Rodriguez-McDougall, M.D.
• Karla M Rodriguez
• Norma Rodriguez
• Viviana Rodriguez, SLP
• Jose Augusto Roman Ramos, M.D.
• Lourdes M. Roman, R.PH.

• General Practice Physician in Coto Laurel, PR
• Providers in Coto Laurel, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.