Active NPI
Gustavo Rafael Rodriguez
- Student in an Organized Health Care Education/Training Program
- San Juan, PR
National Provider Identifier
1194420414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Paseo Dr. Jose Celso Barbosa
Centro Medico de Puerto Rico
San Juan, PR 00921 - Phone
- (787) 754-0101
- NPI assigned
- Apr 4, 2023
- Last updated
- Apr 4, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
Paseo Dr. Jose Celso Barbosa
Centro Medico de Puerto Rico
San Juan, PR 00921
Mailing address
735 Calle Guamani, Campos de Montehiedra
San Juan, PR 00926
Phone (787) 637-5656
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": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1194420414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 CALLE GUAMANI, CAMPOS DE MONTEHIEDRA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-637-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PASEO DR. JOSE CELSO BARBOSA",
"address_2": "CENTRO MEDICO DE PUERTO RICO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-754-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "GUSTAVO",
"middle_name": "RAFAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-04",
"last_updated": "2023-04-04",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.