Individual provider Active NPI

Robert Rodriguez Perez, M.D.

  • General Practice Physician
  • Guayanilla, PR
National Provider Identifier
1336348291
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16829 Issued in PR
Practice address
B2 Calle C
Urb San Augusto
Guayanilla, PR 00656
Phone
(787) 630-7844
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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 16829 PR Primary

Addresses

Primary practice location

B2 Calle C
Urb San Augusto
Guayanilla, PR 00656

Mailing address

B2 Calle C
Urb San Augusto
Guayanilla, PR 00656
Phone (787) 630-7844

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
I20071005000512 PR Practitioner - General Practice 7517052525 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16829PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Center, Inc CurrentSince Jun 16, 2015 Accepting new patients
Municipio de Guanica CurrentSince Jan 8, 2025 Accepting new patients
Municipio de Guanica General Practice CurrentSince Jan 8, 2025 Accepting new patients
Primary Medical Group, C.S.P. CurrentSince Apr 1, 2016 Accepting new patients
Primary Medical Center Inc General Practice CurrentSince Jun 16, 2015 Accepting new patients
Primary Medical Group,C.S.P. General Practice CurrentSince Apr 1, 2016 Accepting new patients
Colonial Medical Management, Corp Past Accepting new patients
Colonial Medical Management, Corp. Past Accepting new patients

Locations

607 Calle Ferrocarril
Ponce, PR 00717
Phone (787) 259-7219

24 Calle Mendez Vigo
Ponce, PR 00730
Phone (787) 492-3197

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1336348291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B2 CALLE C",
            "address_2": "URB SAN AUGUSTO",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "00656",
            "telephone_number": "787-630-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B2 CALLE C",
            "address_2": "URB SAN AUGUSTO",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "00656",
            "telephone_number": "787-630-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ PEREZ",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayanilla, PR

Sources for this page

Verify at the official NPI Registry.