Individual provider Active NPI

Amaryllis Aymat-Rodriguez, MD

  • Pediatrics Physician
  • Corozal, PR
National Provider Identifier
1316048119
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7730 Issued in PR
Practice address
Carretera 159 0.9 Desvio de Corozal
Barrio Abra
Corozal, PR 00783-9750
Phone
(787) 859-2560
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 7730 PR Primary

Addresses

Primary practice location

Carretera 159 0.9 Desvio de Corozal
Barrio Abra
Corozal, PR 00783-9750

Mailing address

Plaza 12 D-9
Cambridge Park
San Juan, PR 00926-1450
Phone (787) 764-6477

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7730PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316048119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA 12 D-9",
            "address_2": "CAMBRIDGE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261450",
            "telephone_number": "787-764-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 159 0.9 DESVIO DE COROZAL",
            "address_2": "BARRIO ABRA",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839750",
            "telephone_number": "787-859-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYMAT-RODRIGUEZ",
        "first_name": "AMARYLLIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "7730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, 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.