Individual provider Active NPI

Rafael Rodriguez, NURSE

  • Adult Psychiatric/Mental Health Registered Nurse
  • Mayaguez, PR
National Provider Identifier
1386846228
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
16088 Issued in PR
Practice address
Centro Salud Mental de Mayaguez
410 Ave Hostos Suite 7
Mayaguez, PR 00682-1522
Phone
(787) 832-6771
Fax
(787) 832-6771
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 16088 PR Primary

Addresses

Primary practice location

Centro Salud Mental de Mayaguez
410 Ave Hostos Suite 7
Mayaguez, PR 00682-1522

Mailing address

Urb. Vista Alegre
Calle Sevilla #81
Aguadilla, PR 00603
Phone (787) 882-0208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16088PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Assmca Past Accepting new patients

Organizations & group practices 1

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386846228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VISTA ALEGRE",
            "address_2": "CALLE SEVILLA #81",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-0208",
            "fax_number": "787-832-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO SALUD MENTAL DE MAYAGUEZ",
            "address_2": "410 AVE HOSTOS SUITE 7",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821522",
            "telephone_number": "787-832-6771",
            "fax_number": "787-832-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PR",
            "license": "16088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.