Individual provider Active NPI

Alex J Cedeno Rodriguez, M.D.

  • General Practice Physician
  • Guayanilla, PR
National Provider Identifier
1326360983
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17828 Issued in PR
Practice address
Bda Guaydia Calle Juan Arzola 110
Guayanilla, PR 00656-0000
Phone
(787) 835-6709
NPI assigned
Feb 24, 2010
Last updated
Feb 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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 17828 PR Primary

Addresses

Primary practice location

Bda Guaydia Calle Juan Arzola 110
Guayanilla, PR 00656-0000

Mailing address

Bda. Guaydia Calle Juan Arzola 110
Guayanilla, PUERTO RICO 00656
UM
Phone (787) 835-6709

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
I20110205000009 PR Practitioner - General Practice 1951581198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Centro IncGroup PAC ID 5890692131, 62 clinicians
Municipio de GuayanillaGroup PAC ID 7113932328, 7 clinicians

Practice addresses (Care Compare)

1034 Ave Hostos
Ponce, PR 00716-1115
Phone 78784393931025

13 Calle Jose de Diego
Guayanilla, PR 00656-1830
Phone (787) 835-7333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17828PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Centro, Inc. General Practice Current Accepting new patients
Med Centro, Inc. CurrentSince Aug 9, 2017 Accepting new patients
Med Centro, Inc. CurrentSince Aug 9, 2017 Accepting new patients
Municipio de Guayanilla Current Accepting new patients
Municipio de Guayanilla Current Accepting new patients
Al Ramos MD CSP Past Accepting new patients

Locations

13 Calle Jose de Diego
Guayanilla, PR 00656
Phone (787) 835-5366

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

Interoperability endpoints

  • Direct secure messaging: alex.cedeno@medcentro.directbygreenway.com

Organizations & group practices 6

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": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1326360983",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "BDA. GUAYDIA CALLE JUAN ARZOLA 110",
            "city": "GUAYANILLA",
            "state": "PUERTO RICO",
            "postal_code": "00656",
            "telephone_number": "787-835-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BDA GUAYDIA CALLE JUAN ARZOLA 110",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560000",
            "telephone_number": "787-835-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDENO RODRIGUEZ",
        "first_name": "ALEX",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayanilla, PR

Sources for this page

Verify at the official NPI Registry.