Dante Isaac Rodriguez Gonzalez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22-095 Issued in PR

Practice address

102 Calle Francisco Jauregui
Arecibo, PR 00612

Phone

(787) 816-5041

NPI assigned

Jun 20, 2017

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

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tanama Healthcare LLC

  • Multi-Specialty Clinic/Center
  • Arecibo, PR
  • NPI 1427776186

  General Practice

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1194245365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CALLE UNION",
            "address_2": "APARTMENT G1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-506-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CALLE FRANCISCO JAUREGUI",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-816-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GONZALEZ",
        "first_name": "DANTE",
        "middle_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2024-04-30",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22-095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039061200",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@tanamahealthcare.com",
            "affiliation": "N",
            "address_1": "102 Calle Francisco Jauregui",
            "city": "Arecibo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Orlando Alfredo Rodriguez Amador, MD
• Carlos Ivan Rodriguez Ambert
• Edwin Rodriguez Aponte Jr., M.D.
• Ernesto R Rodriguez Borgos, DMD
• Carlos Alberto Rodriguez Echevarria, MD
• Zuleyka Rodriguez Orta, PSY D.
• Jose M Rodriguez Rodriguez, MD.
• Jessica Rodriguez Rosado, MSW
• Kelvin J. Rodriguez Santiago
• Karla M Rodriguez Velez, M.D.

• General Practice Physician in Arecibo, PR
• Providers in Arecibo, 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 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.