Individual provider Active NPI

Carlos Eduardo Rodriguez Sanchez, M.D.

  • General Practice Physician
  • San German, PR
National Provider Identifier
1174963409
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
019217 Issued in PR
Practice address
1 Calle Ferrocarril Ste 1
San German, PR 00683-4039
Phone
(787) 978-3084
Fax
(787) 978-3085
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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 019217 PR Primary

Addresses

Primary practice location

1 Calle Ferrocarril Ste 1
San German, PR 00683-4039

Mailing address

1 Calle Ferrocarril Ste 1
San German, PR 00683-4039
Phone (787) 978-3084

Other practice location 1

8 Calle Javilla
San German, PR 00683-4102
Phone (787) 892-8300

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
I20160622002753 PR Practitioner - General Practice 8921399957 Reassigns benefits to 1 organization
Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Calle Ferrocarril
Suite 1
San German, PR 00683-4039
Phone (787) 978-3064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019217PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc General Practice CurrentSince May 15, 2016 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 15, 2016 Accepting new patients
Endohealth LLC PastSince Feb 2, 2020 Accepting new patients
Asociacion Hospital del Maestro Past Accepting new patients

Locations

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Interoperability endpoints

  • Direct secure messaging: carlos.rodriguezsanchez@3507.securemail.prognocis.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1174963409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE FERROCARRIL STE 1",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834039",
            "telephone_number": "787-978-3084",
            "fax_number": "787-978-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE FERROCARRIL STE 1",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834039",
            "telephone_number": "787-978-3084",
            "fax_number": "787-978-3085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Calle Javilla",
            "address_purpose": "LOCATION",
            "city": "San German",
            "state": "PR",
            "postal_code": "006834102",
            "country_code": "US",
            "telephone_number": "787-892-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ SANCHEZ",
        "first_name": "CARLOS",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "019217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.