Active NPI
Virgen Milagros Rodriguez Perez, M.D.
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1356342059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q9015
- Practice address
- 25723 Old Fredericksburg Road
San Antonio, TX 78015 - Phone
- (210) 450-6800
- Fax
- (210) 450-6801
- NPI assigned
- Aug 3, 2005
- Last updated
- Mar 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q9015 | TX | Primary |
| Family Medicine Physician | 207Q00000X | ME126089 | FL | |
| Family Medicine Physician | 207Q00000X | 8730 | PR |
Addresses
Primary practice location
25723 Old Fredericksburg Road
San Antonio, TX 78015
Mailing address
5788 Eckhert Rd
San Antonio, TX 78240-3900
Phone (210) 699-2100
Other practice location 1
Centro Medicina Familia, Road 172, Km 7.3,
Bo. Bayamon, Sector Certenejas
Cidra, PR 00739
Phone (787) 747-7839
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362671502 | Medicaid | TX | |
| 362671503 | Other | TX | CSHCN |
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 |
|---|---|---|---|---|
| I20100712000233 | PR | Practitioner - Family Practice | 3779615752 | Practice locations: Cidra, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126089 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1356342059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5788 ECKHERT RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403900",
"telephone_number": "210-699-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25723 OLD FREDERICKSBURG ROAD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78015",
"telephone_number": "210-450-6800",
"fax_number": "210-450-6801"
}
],
"practiceLocations": [
{
"address_1": "Centro Medicina Familia, Road 172, Km 7.3,",
"address_2": "Bo. Bayamon, Sector Certenejas",
"address_purpose": "LOCATION",
"city": "Cidra",
"state": "PR",
"postal_code": "00739",
"country_code": "US",
"telephone_number": "787-747-7839",
"fax_number": "787-961-0021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ PEREZ",
"first_name": "VIRGEN",
"middle_name": "MILAGROS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-03",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q9015",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME126089",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "8730",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "362671502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "362671503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Juan Jose Rodriguez Lopez, MD
- Armando Rodriguez Martinez, FNP-C
- Marisol Rodriguez Mendez, MD
- Maria Victoria Rodriguez Munoz, M.D.
- Stephanie Lynn Rodriguez Pena, MD
- Lizette Rodriguez Rivas
- Johanna Rodriguez-Becho, LMFT
- Aimee Cathleen Rodriguez-Chapa, COTA
- Emma Rodriguez-Lowery, LVN
- Janet Rodriguez-Macias
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.