Alexis Torres Rodriguez, M,D,

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

18796 Issued in PR

Practice address

Ave. Eleonor Roosevelt
122
San Juan, PR 00936
UM

Phone

(787) 282-3702

Fax

(787) 282-3702

NPI assigned

Sep 15, 2008

Last updated

Mar 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sjcatorres@yourcarecommunity.org

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.

• Integrity Behavioral Group LLC

  • Child & Adolescent Psychiatry Physician
  • San Juan, PR
  • NPI 1477947240
  NPD (past) Authorized official
• First Hospital Panamericano Inc

  dba FHC Panamericano

  • Psychiatric Hospital
  • Cidra, PR
  • NPI 1346357225
  NPD (past)
• Hato Rey Parcial

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hato Rey, PR
  • NPI 1962650267
  NPD (past)
• Humacao Parcial

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Humacao, PR
  • NPI 1609024900
  NPD (past)

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1386893352",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX",
            "address_2": "366217",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-282-3702",
            "fax_number": "787-282-3702"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "AVE. ELEONOR ROOSEVELT",
            "address_2": "122",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-282-3702",
            "fax_number": "787-282-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES RODRIGUEZ",
        "first_name": "ALEXIS",
        "credential": "M,D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "18796",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "18796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.

Verify at the official NPI Registry.