Individual provider Active NPI

Amaury Rodriguez, MD

  • General Practice Physician
  • Sabana Grande, PR
National Provider Identifier
1215998836
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12355 Issued in PR
Practice address
36 Munoz Rivera Street
Sabana Grande, PR 00637-1859
Phone
(787) 804-1046
Fax
(787) 804-0150
NPI assigned
Mar 31, 2006
Last updated
Oct 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12355 PR Primary

Addresses

Primary practice location

36 Munoz Rivera Street
Sabana Grande, PR 00637-1859

Mailing address

#36 Munoz Rivera St
Sabana Grande, PR 00637
Phone (787) 804-1046

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121002000491 PR Practitioner - General Practice 5799934014 Practice locations: Sabana Grande, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36 Calle Luis Munoz Rivera
Sabana Grande, PR 00637-1815
Phone (787) 804-1046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1215998836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#36 MUNOZ RIVERA ST",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-804-1046",
            "fax_number": "787-804-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MUNOZ RIVERA STREET",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371859",
            "telephone_number": "787-804-1046",
            "fax_number": "787-804-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AMAURY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.