Individual provider Active NPI

Cynthia M Ortiz Rodriguez, M.D.

  • Family Medicine Physician
  • Barceloneta, PR
National Provider Identifier
1356397517
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12364 Issued in PR
Practice address
Carr. #2, Cruce Davila
Barceloneta, PR 00617-2045
Phone
(787) 846-4412
Fax
(787) 846-7410
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12364 PR Primary

Addresses

Primary practice location

Carr. #2, Cruce Davila
Barceloneta, PR 00617-2045

Mailing address

PO Box 2045
Barceloneta, PR 00617-2045
Phone (787) 846-4412

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
I20040930000778 PR Practitioner - Family Practice 7315916863 Reassigns benefits to 1 organization
Practice locations: Barceloneta, PR; Manati, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12364PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios de Salud Primarios de Barceloneta, Inc. CurrentSince May 2, 2003 Accepting new patients
Servicios de Salud Primarios de Barceloneta, Inc. CurrentSince May 2, 2003 Accepting new patients
Servicios de Salud Primarios de Barceloneta, Inc. Current Accepting new patients
Clinica de Cuidado Medico, Inc. Past Accepting new patients
Servicios de Salud Primarios de Barceloneta, Inc. Past Accepting new patients

Organizations & group practices 5

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1356397517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2045",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172045",
            "telephone_number": "787-846-4412",
            "fax_number": "787-846-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2, CRUCE DAVILA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172045",
            "telephone_number": "787-846-4412",
            "fax_number": "787-846-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ RODRIGUEZ",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

Verify at the official NPI Registry.