Dr. Edwin F. Rodriguez Allende,CSP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11105 Issued in PR

Legal business name

DR. EDWIN F. RODRIGUEZ ALLENDE,CSP

Practice address

202 Calle Julio Cintron
Edificio Guayacan, of. 107
Aibonito, PR 00705-1450

Phone

(787) 735-1830

Fax

(787) 735-1890

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Edwin F. Rodriguez, MD

Title

Administrator

Phone

(787) 462-7559

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin F. Rodriguez Allende, M.D.

  • Internal Medicine Physician
  • Aibonito, PR
  • NPI 1770538969

  Internal Medicine, PR

  Medicare reassignment NPD

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1275957862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051450",
            "telephone_number": "787-735-1830",
            "fax_number": "787-735-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CALLE JULIO CINTRON",
            "address_2": "EDIFICIO GUAYACAN, OF. 107",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051450",
            "telephone_number": "787-735-1830",
            "fax_number": "787-735-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWIN F. RODRIGUEZ ALLENDE,CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-462-7559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Aibonito, PR
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.