Individual provider Active NPI

Ruben Benjamin Rodriguez, D.C.

  • Rehabilitation Chiropractor
  • Manati, PR
National Provider Identifier
1326116336
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0354 Issued in PR
Practice address
B39 Calle Elliot Velez
Marginal Atenas
Manati, PR 00674-4615
Phone
(787) 884-5317
Fax
(787) 884-5317
NPI assigned
Nov 30, 2006
Last updated
Apr 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 0354 PR Primary

Addresses

Primary practice location

B39 Calle Elliot Velez
Marginal Atenas
Manati, PR 00674-4615

Mailing address

PO Box 1933
Manati, PR 00674-1933
Phone (787) 884-5317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000989 PR Practitioner - Chiropractic 3678549987 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

B39 Calle Elliot Velez
Manati, PR 00674-4615
Phone (787) 884-5317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
354PRMDClinical Psychologist
0354PRMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Quiropractica Familiar de Manati Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1326116336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1933",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741933",
            "telephone_number": "787-884-5317",
            "fax_number": "787-884-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B39 CALLE ELLIOT VELEZ",
            "address_2": "MARGINAL ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744615",
            "telephone_number": "787-884-5317",
            "fax_number": "787-884-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RUBEN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PR",
            "license": "0354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.