Luis Rodriguez Sr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5681 Issued in PR

Practice address

Ave Campo Rico a-6 Castellano Gardens
Carolina, PR 00983

Phone

(787) 752-7897

Fax

(787) 768-0689

NPI assigned

Dec 30, 2005

Last updated

Jul 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Policlinica Dr. Luis Rodriguez Carrasquillo, PSCGroup PAC ID 9234315292, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Policlinica Dr. Luis Rodriguez Carrasquillo, PSC

  • Health Service Clinic/Center
  • Carolina, PR
  • NPI 1346570207
  Medicare reassignment Care Compare group NPD
• Carolina Wound & Skin Care LLC

  • Health Service Clinic/Center
  • Carolina, PR
  • NPI 1447081492

  General Practice

  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1336126283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3762",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843762",
            "telephone_number": "787-752-7897",
            "fax_number": "787-768-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE CAMPO RICO A-6 CASTELLANO GARDENS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-752-7897",
            "fax_number": "787-768-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseth Antonio Rodriguez, PHARMD
• Leyva Rodriguez, M.S., S.W.
• Lilayla Esther Rodriguez
• Lizbeth Rodriguez, D.M.D.
• Lizzette Rodriguez, MD
• Luis Rodriguez
• Maria de Los Angeles Rodriguez
• Marisela De la Caridad Rodriguez, DR. PHD
• Migdalia Rodriguez, MD
• Peggy Rodriguez

• General Practice Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.