Individual provider Active NPI

Rodolfo Caballero Quinones, MD

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1316562846
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022482 Issued in PR
Practice address
Calle Hernandez Carrion
Manati Medical Center
Manati, PR 00674-4622
Phone
(787) 621-3700
NPI assigned
Jun 10, 2020
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022482 PR Primary

Addresses

Primary practice location

Calle Hernandez Carrion
Manati Medical Center
Manati, PR 00674-4622

Mailing address

RR 1 Box 11654
Manati, PR 00674-9714
Phone (787) 691-5472

Other practice location 1

Carr 685 Km 1.9, Bo. Tierras Nuevas
CDT Dr. Melendez Inc.
Manati, PR 00674
Phone (787) 854-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211130000350 PR Practitioner - General Practice 7416347877 Practice locations: Manati, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15389IPRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1316562846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 11654",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006749714",
            "telephone_number": "787-691-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HERNANDEZ CARRION",
            "address_2": "MANATI MEDICAL CENTER",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744622",
            "telephone_number": "787-621-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 685 Km 1.9, Bo. Tierras Nuevas",
            "address_2": "CDT Dr. Melendez Inc.",
            "address_purpose": "LOCATION",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-854-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO QUINONES",
        "first_name": "RODOLFO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.