Individual provider Active NPI

Juan A Rodriguez, MD

  • Cardiovascular Disease Physician
  • Bayamon, PR
National Provider Identifier
1245331339
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4369 Issued in PR
Practice address
Calle 1 48 Ext. Hermanas Davila
Bayamon, PR 00959
Phone
(787) 785-4851
Fax
(787) 785-4851
NPI assigned
Sep 25, 2006
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4369 PR Primary

Addresses

Primary practice location

Calle 1 48 Ext. Hermanas Davila
Bayamon, PR 00959

Mailing address

90 Calle Reina de Las Flores
Ciudad Jardin 3
Toa Alta, PR 00953-4860
Phone (787) 785-4851

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
I20041206000089 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6002872744 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1669 Calle Parana
San Juan, PR 00926-3199
Phone (787) 931-7486

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pre-Vue Cardiovascular Disease CurrentSince Mar 15, 2014 Accepting new patients
Centro Cardiologico de Bayamon Cardiovascular Disease Past Accepting new patients
PR Neuro-Cardiovascular Services Cardiovascular Disease Past Accepting new patients
Instituto Cardiovascular de Bayamon LLC Past Accepting new patients

Locations

1669 Calle Parana
San Juan, PR 00926
Phone (787) 931-7486

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1245331339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CALLE REINA DE LAS FLORES",
            "address_2": "CIUDAD JARDIN 3",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009534860",
            "telephone_number": "787-785-4851",
            "fax_number": "787-785-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1 48 EXT. HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-785-4851",
            "fax_number": "787-785-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "4369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.