Evelyn Rodriguez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16578 Issued in PR

Practice address

Calle Jose Celso Barbosa
# 106
Las Piedras, PR 00777

Phone

(787) 733-1721

Fax

(787) 733-1721

NPI assigned

Oct 23, 2006

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

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

General Practice

Education

San Juan Bautista School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1235212150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 CALLE EBANO",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719039",
            "telephone_number": "787-466-0654",
            "fax_number": "787-716-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JOSE CELSO BARBOSA",
            "address_2": "# 106",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-733-1721",
            "fax_number": "787-733-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Obryan Rodriguez Matos
• Karmin Jemarie Rodriguez Rios
• Liz A Rodriguez-Rivas
• Celiana Rodriguez, LIC
• Emarie Rodriguez, MSW
• Juanita Enid Rodriguez
• Nidza Rodriguez
• Thaira Enid Rodriguez, NL
• Nicole M Roman Medina
• Amaury Roque Gonzalez

• General Practice Physician in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.