Individual provider Active NPI

Antoliano Torres Rodriguez

  • Pediatrics Physician
  • Santurce, PR
National Provider Identifier
1306843511
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4849 Issued in PR
Practice address
1452 Calle Americo Salas
Esq. Pavia
Santurce, PR 00909-2157
Phone
(787) 722-1460
Fax
(787) 726-5223
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4849 PR Primary

Addresses

Primary practice location

1452 Calle Americo Salas
Esq. Pavia
Santurce, PR 00909-2157

Mailing address

Plaza 12 D-4
Cambridge Park
Rio Piedras, PR 00926
Phone (787) 759-8171

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

State licenses

LicenseStateTypeSpecialty
4849PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306843511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA 12 D-4",
            "address_2": "CAMBRIDGE PARK",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-759-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 CALLE AMERICO SALAS",
            "address_2": "ESQ. PAVIA",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092157",
            "telephone_number": "787-722-1460",
            "fax_number": "787-726-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES RODRIGUEZ",
        "first_name": "ANTOLIANO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "4849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.