Puerto Rico Colorectal Specialists LLC

Key facts

NPI: 1285488221
Entity type: Organization (NPI type 2)
Primary specialty: Colon & Rectal Surgery Physician 208C00000X
Legal business name: PUERTO RICO COLORECTAL SPECIALISTS LLC
Practice address: Carr 132 KM 22 1 Bo Canas
Plaza Gabriela
Ponce, PR 00728-2687
Phone: (787) 500-1270
NPI assigned: Apr 16, 2024
Organization subpart: No

Authorized official

Name: Dr. Jetsen A Rodriguez Silva, MD NPI 1568849230
Title: Presidente
Phone: (787) 500-1270

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

Jetsen Amaury Rodriguez Silva, MD Colon & Rectal Surgery Physician · Ponce, PR · NPI 1568849230

Medicare reassignment NPD Authorized official PR · SURGERY
Caroline Batiz Hernandez, M.S Speech-Language Pathologist · Ponce, PR · NPI 1043643166

NPD (past)
Kathiayari Rodriguez Silva, PSYD Clinical Psychologist · Ponce, PR · NPI 1760101851

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PR

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20240716000265	PR	Part B Supplier - Clinic/Group Practice	3577008424	Receives reassigned benefits from 1 practitioner Practice locations: Ponce, PR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Surgery Physician Group: 193200000X MULTI-SPECIALTY GROUP	208600000X
Colon & Rectal Surgery Physician Group: 193200000X MULTI-SPECIALTY GROUP	208C00000X			Yes

Addresses

Primary practice location

Carr 132 KM 22 1 Bo Canas
Plaza Gabriela
Ponce, PR 00728-2687

Mailing address

PO Box 39
Mercedita, PR 00715-0039
Phone (787) 500-1270

Other providers in Ponce, PR

All providers in Ponce, PR · Colon & Rectal Surgery Physician in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.