Jose A Rodriguez

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6690859200 Issued in PR

Practice address

F1179 Ave Dos Palmas
Levittown
Toa Baja, PR 00949

Phone

(787) 795-2162

NPI assigned

Jul 25, 2016

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1235682378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F1179 AVE DOS PALMAS",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-795-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "F1179 AVE DOS PALMAS",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-795-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "6690859200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Rodriguez Sr., TRABAJADOR SOCIAL
• Caroline Rodriguez, PSIC
• Cynthia Rodriguez
• Elaine Marie Rodriguez, M.S.
• Ismael Rodriguez, MSW
• Laura B Rodriguez, PSYD
• Lilliam Rodriguez, MSW
• Maria Elisa Rodriguez, S.W.
• Alondra Roman Hernandez
• Victor Manuel Roman-Ortiz, DMD

• General Practice Dentistry in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.