Individual provider Active NPI

Jose Manuel Castro Rodriguez, M.D., F.A.C.R.

  • Health Service Clinic/Center
  • Rio Piedras, PR
National Provider Identifier
1316044704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4176 Issued in PR
Practice address
Torre San Francisco
Suite 408, Ave de Diego 369
Rio Piedras, PR 00923
Phone
(787) 767-4100
Fax
(787) 767-4119
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Health Service Clinic/Center 261QH0100X 4176 PR Primary

Addresses

Primary practice location

Torre San Francisco
Suite 408, Ave de Diego 369
Rio Piedras, PR 00923

Mailing address

Marbella 22
Urb Paseo Las Brisas
San Juan, PR 00926
Phone (787) 755-2551

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4176PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316044704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARBELLA 22",
            "address_2": "URB PASEO LAS BRISAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-755-2551",
            "fax_number": "787-767-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN FRANCISCO",
            "address_2": "SUITE 408, AVE DE DIEGO 369",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-767-4100",
            "fax_number": "787-767-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "4176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, 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.