Individual provider Active NPI

Jinette M Santos Rodriguez, MD

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1265953376
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21491 Issued in PR
Practice address
Hospital Metropolitano
1785 Ave Las Lomas Suite 206
San Juan, PR 00922-0092
Phone
(787) 782-9999
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21491 PR Primary

Addresses

Primary practice location

Hospital Metropolitano
1785 Ave Las Lomas Suite 206
San Juan, PR 00922-0092

Mailing address

1325 Ave San Ignacio Apt 3L
San Juan, PR 00921-3804

Other practice location 1

Hospital Muncipal De San Juan Barrio
San Juan, PR 00935-0001
Phone (787) 480-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21491PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pediatrics LLC Pediatrics CurrentSince Jun 12, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcjinette@yourcarecommunity.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1265953376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AVE SAN IGNACIO APT 3L",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL METROPOLITANO",
            "address_2": "1785 AVE LAS LOMAS SUITE 206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220092",
            "telephone_number": "787-782-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hospital Muncipal De San Juan Barrio",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-480-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS RODRIGUEZ",
        "first_name": "JINETTE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "21491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.