Stella M Rodriguez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

100 Grand Paseo Blvd
Galeria Paseos Mall 112 Ste
San Juan, PR 00926-5905

Phone

(787) 923-7169

Fax

(787) 963-0810

NPI assigned

Jul 10, 2020

Sex

Female

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)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1205454733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1039",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007201039",
            "telephone_number": "787-923-7169",
            "fax_number": "787-963-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BLVD",
            "address_2": "GALERIA PASEOS MALL 112 STE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265905",
            "telephone_number": "787-923-7169",
            "fax_number": "787-963-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STELLA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra S Rodriguez, M.D.
• Segundo A Rodriguez, M.D
• Sheila Rodriguez, LND
• Solmarie Rodriguez
• Sonia Enid Rodriguez, PHARMD.
• Teresita Rodriguez, MSW
• Victor Manuel Rodriguez, M.D.
• Vilma S Rodriguez, RN
• Vionette Vanessa Rodriguez
• Virginia Luisa Rodriguez

• Medical Physician Assistant in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.