Juan Antonio Rodriguez Jr., MDW

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

11193 Issued in PR

Practice address

Carret. #2 KM 86.7
Bo. Pueblo
Hatillo, PR 00659

Phone

(787) 898-3517

Fax

(787) 898-3517

NPI assigned

Dec 8, 2005

Last updated

Jun 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

Orthopedic Surgery

Education

University of Puerto Rico School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Metropolitano Dr Susoni Hospital, Arecibo, PR, CCN 400117

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Dr. Susoni. Inc.

  • General Acute Care Hospital
  • Arecibo, PR
  • NPI 1104862044
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Dr. Susoni. Inc.

  • General Acute Care Hospital
  • Arecibo, PR
  • NPI 1104862044
  Care Compare affiliation

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1215912613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142487",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006142487",
            "telephone_number": "787-898-3517",
            "fax_number": "787-898-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRET. #2 KM 86.7",
            "address_2": "BO. PUEBLO",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-898-3517",
            "fax_number": "787-898-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MDW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "11193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rigoberto Robles
• Korak Roca, OD
• Gianna C Rodriguez
• Giselle Rodriguez
• Ivelisse Rodriguez, PHARMACY TCHNICIAN
• Lourdes B Rodriguez
• Patricia Rodriguez, MAPT
• Carlina Roman Abrams
• Christian Yamil Roman Acevedo
• Elvis Roman Almodovar Sr., MS,SLP

• Orthopaedic Surgery Physician in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Orthopaedic Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.