Miguel Angel Rodriguez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10036 Issued in PR

Practice address

Calle 22 Urb. Santa Rosa
Bloque 40 #20
Bayamon, PR 00960-6551

Phone

(787) 786-4559

Fax

(787) 999-0829

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1235344979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANTA ROSA",
            "address_2": "40-20 CALLE 22",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596551",
            "telephone_number": "787-786-4559",
            "fax_number": "787-999-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 22 URB. SANTA ROSA",
            "address_2": "BLOQUE 40 #20",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009606551",
            "telephone_number": "787-786-4559",
            "fax_number": "787-999-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PR",
            "license": "10036",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "10036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Rodriguez, MA
• Marielys Rodriguez, MPT
• Marilu Rodriguez, DMD
• Mayra Rodriguez, RPH
• Michelle Rodriguez, LND
• Milton Ariel Rodriguez Sr.
• Nadiuska Rodriguez
• Nelson Rodriguez Sr., DMD
• Nicole Rodriguez
• Rafael Rodriguez, M.D.

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, 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 Jul 5, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.