Active NPI
Victor Manuel Rodriguez Perez, MD
- General Practice Physician
- Sabana Grande, PR
National Provider Identifier
1255433629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14412
- Practice address
- Calle Angel M Quinones
Policlinica Dr Marin
Sabana Grande, PR 00698 - Phone
- (787) 804-0115
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14412 | PR | Primary |
Addresses
Primary practice location
Calle Angel M Quinones
Policlinica Dr Marin
Sabana Grande, PR 00698
Mailing address
Flamboyan S C 12 Urb Valle Hermoso
Hormigueros, PR 00660
Phone (787) 384-2752
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Anesthesia Associates LLC | Current | Accepting new patients | |
| Hospital Damas Inc | Current | Accepting new patients | |
| Centro de Diagnostico Y Tratamiento de San Sebastian Inc | Past | Accepting new patients |
Locations
2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1730159286
-
- Specialist
- Ponce, PR
- NPI 1336120153
-
- Health Service Clinic/Center
- San Sebastian, PR
- NPI 1164466363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1255433629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FLAMBOYAN S C 12 URB VALLE HERMOSO",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "00660",
"telephone_number": "787-384-2752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE ANGEL M QUINONES",
"address_2": "POLICLINICA DR MARIN",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "00698",
"telephone_number": "787-804-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ PEREZ",
"first_name": "VICTOR",
"middle_name": "MANUEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sabana Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.