Wanda Iris Rodriguez

Primary specialty

DentistTaxonomy code 122300000X

License

2380 Issued in PR

Practice address

52 Ave Baldorioty W
Cayey, PR 00736-3837

Phone

(787) 738-8955

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275618829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 AVE BALDORIOTY W",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363837",
            "telephone_number": "787-738-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 AVE BALDORIOTY W",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363837",
            "telephone_number": "787-738-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "WANDA",
        "middle_name": "IRIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LISCENCE",
            "identifier": "1570637",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Junior Rodriguez Sr.
• Marianela Rodriguez, MA
• Neytza Rodriguez, SLP
• Rosaly Joan Rodriguez, MPSY
• Ruben Edgardo Rodriguez
• Yesenia Rodriguez, LCSW
• Zoarelith Rodriguez, LCDA.
• Martin E Roldan Auffant, MD
• Dianabel Rolon Rivera
• Jeannette Rolon

• Dentist in Cayey, PR
• Providers in Cayey, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.