Active NPI
Robert Rodriguez Perez, M.D.
- General Practice Physician
- Guayanilla, PR
National Provider Identifier
1336348291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16829
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16829 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Medical Center, Inc | Current | Accepting new patients | |
| Municipio de Guanica | Current | Accepting new patients | |
| Municipio de Guanica | General Practice | Current | Accepting new patients |
| Primary Medical Group, C.S.P. | Current | Accepting new patients | |
| Primary Medical Center Inc | General Practice | Current | Accepting new patients |
| Primary Medical Group,C.S.P. | General Practice | Current | 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.
-
- Family Medicine Physician
- Ponce, PR
- NPI 1174593545
General Practice, PR
-
- Clinic/Center
- Guanica, PR
- NPI 1174847354
-
- Radiology Clinic/Center
- Ponce, PR
- NPI 1598390114
-
- Clinic/Center
- Ponce, PR
- NPI 1104216050
-
- Clinic/Center
- Anasco, PR
- NPI 1215290374
-
- Clinical Medical Laboratory
- Anasco, PR
- NPI 1528317997
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.