Active NPI
Maria Del Carmen Odriozola I, M.D.
- Pediatrics Physician
- Caguas, PR
National Provider Identifier
1215139522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 7889
- Practice address
- B17 Calle San Ignacio
San Pedro Estates
Caguas, PR 00725-7609 - Phone
- (787) 396-7018
- Fax
- (787) 286-1812
- NPI assigned
- May 31, 2007
- Last updated
- Nov 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 7889 | PR | Primary |
Addresses
Primary practice location
B17 Calle San Ignacio
San Pedro Estates
Caguas, PR 00725-7609
Mailing address
B17 Calle San Ignacio
San Pedro Estates
Caguas, PR 00725-7609
Phone (787) 396-7018
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7889 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1215139522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B17 CALLE SAN IGNACIO",
"address_2": "SAN PEDRO ESTATES",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007257609",
"telephone_number": "787-396-7018",
"fax_number": "787-286-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B17 CALLE SAN IGNACIO",
"address_2": "SAN PEDRO ESTATES",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007257609",
"telephone_number": "787-396-7018",
"fax_number": "787-286-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODRIOZOLA",
"first_name": "MARIA",
"middle_name": "DEL CARMEN",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "7889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.