Active NPI
Puerto Rico Colorectal Specialists LLC
- Colon & Rectal Surgery Physician
- Ponce, PR
National Provider Identifier
1285488221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- 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
- Last updated
- Oct 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jetsen A Rodriguez Silva, MD
- Title
- Presidente
- Phone
- (787) 500-1270
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Colon & Rectal Surgery Physician | 208C00000X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Colon & Rectal Surgery Physician
- Ponce, PR
- NPI 1568849230
-
- Speech-Language Pathologist
- Ponce, PR
- NPI 1043643166
-
- Clinical Psychologist
- Ponce, PR
- NPI 1760101851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730246400000",
"number": "1285488221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39",
"city": "MERCEDITA",
"state": "PR",
"postal_code": "007150039",
"telephone_number": "787-500-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 132 KM 22 1 BO CANAS",
"address_2": "PLAZA GABRIELA",
"city": "PONCE",
"state": "PR",
"postal_code": "007282687",
"telephone_number": "787-500-1270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUERTO RICO COLORECTAL SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-16",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ SILVA",
"authorized_official_first_name": "JETSEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-500-1270",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Psychiatrics PSC
- Psymed Clinic, PSC
- Alianis Puebla de Bernardo
- Rigoberto Puente, M.D.
- Puerto Rico Care Response Home Health Agency Corp.
- Puerto Rico Emergency Medicine Ultrasound Services
- Puerto Rico Health Care Group
- Puerto Rico Inflammatory and Surgical Eye Care LLC
- Puerto Rico Institute for Kidney and Endocrine Disorders LLC
- Puerto Rico Medical Emergency Group P.S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.