Active NPI
Mariella Rodriguez Rodriguez
- Audiologist
- Ponce, PR
National Provider Identifier
1184086027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 670
- Practice address
- 1742 Calle Marquesa
Valle Real
Ponce, PR 00716-0515 - Phone
- (787) 598-3215
- NPI assigned
- Mar 21, 2016
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 670 | PR | Primary |
Addresses
Primary practice location
1742 Calle Marquesa
Valle Real
Ponce, PR 00716-0515
Mailing address
1742 Calle Marquesa
Valle Real
Ponce, PR 00716-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237600000X | Other | PR | TAXONOMY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Otologico de Puerto Rico CSP | Audiologist | Current | Accepting new patients |
| Otologic PSC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Otology & Neurotology Physician
- Mayaguez, PR
- NPI 1619958634
Audiologist
-
- Otology & Neurotology Physician
- Mayaguez, PR
- NPI 1417095944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1184086027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 CALLE MARQUESA",
"address_2": "VALLE REAL",
"city": "PONCE",
"state": "PR",
"postal_code": "007160505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1742 CALLE MARQUESA",
"address_2": "VALLE REAL",
"city": "PONCE",
"state": "PR",
"postal_code": "007160515",
"telephone_number": "787-598-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ RODRIGUEZ",
"first_name": "MARIELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-21",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PR",
"license": "670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "237600000X",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Nixzaliz Rodriguez Rivera, M. D.
- Yosira Marie Rodriguez Rivera, MD
- Aida Rodriguez Robles
- Alissa Marie Rodriguez Rodriguez
- Jesus W Rodriguez Rodriguez, M.D.
- Olga D Rodriguez Rodriguez, M.D.
- Andrea S Rodriguez Rolon, DMD
- Isairy Rodriguez Roman, PSYD.
- Michaell O Rodriguez Rosa
- Daniel Eduardo Rodriguez Rossello, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.