Individual provider Active NPI

Reinaldo Rodriguez, M.D.

  • Surgery Physician
  • Ponce, PR
National Provider Identifier
1376508754
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10667 Issued in PR
Practice address
2431 Blvd Luis a Ferre Ste 306
Ponce, PR 00717-2116
Phone
(787) 284-3616
Fax
(787) 651-6288
NPI assigned
Apr 19, 2006
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 10667 PR Primary

Addresses

Primary practice location

2431 Blvd Luis a Ferre Ste 306
Ponce, PR 00717-2116

Mailing address

PO Box 560269
Guayanilla, PR 00656-0269
Phone (787) 284-3616

Other practice location 1

Pavia Hospital Yauco Carr 128 Km 1.0
Office 108
Yauco, PR 00698
Phone (787) 856-1000 ext. 2178

Other identifiers 1

IdentifierTypeStateIssuer
66-0558248OtherPRFEDERAL TAX ID

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
I20061109000053 PR Practitioner - General Surgery 8527065382 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Puerto Rico School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1245 Ave Munoz Rivera
Ponce, PR 00717-0634
Phone (787) 284-3616

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)11
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Reinaldo Rodriguez Lugo, PSC Surgery Past Accepting new patients
Metro Ponce Inc Past Accepting new patients
Yauco Healthcare Corporation Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1376508754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560269",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560269",
            "telephone_number": "787-284-3616",
            "fax_number": "787-651-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 BLVD LUIS A FERRE STE 306",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172116",
            "telephone_number": "787-284-3616",
            "fax_number": "787-651-6288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Pavia Hospital Yauco Carr 128 Km 1.0",
            "address_2": "Office 108",
            "address_purpose": "LOCATION",
            "city": "Yauco",
            "state": "PR",
            "postal_code": "00698",
            "country_code": "US",
            "telephone_number": "787-856-1000 x2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "REINALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "10667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "66-0558248",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.