Individual provider Active NPI

Mariela Nieves-Rodriguez, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bayamon, PR
National Provider Identifier
1376747766
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
17901 Issued in PR
Practice address
77 Calle Santa Cruz
Urb. Santa Cruz
Bayamon, PR 00961-6935
Phone
(787) 300-2815
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 17901 PR Primary

Addresses

Primary practice location

77 Calle Santa Cruz
Urb. Santa Cruz
Bayamon, PR 00961-6935

Mailing address

Urb. Sabanera Dorado
#348 Camino del Cupey
Dorado, PR 00646
Phone (787) 349-2835

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
I20110822000298 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 1254501646 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Metro Pavia
Zona Industrial Victor Rojas II
Arecibo, PR 00612
Phone 7876500020277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Investigacion Educacion Y Servicios Medicos Para la Diabetes CurrentSince May 19, 2012 Accepting new patients
Numendo Endocrinology, Diabetes & Metabolism Past Accepting new patients

Organizations & group practices 2

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1376747766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SABANERA DORADO",
            "address_2": "#348 CAMINO DEL CUPEY",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-349-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE SANTA CRUZ",
            "address_2": "URB. SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616935",
            "telephone_number": "787-300-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES-RODRIGUEZ",
        "first_name": "MARIELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "17901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.