Active NPI
Christian Xavier Rodriguez-Nazario, MD
- Pediatrics Physician
- Rio Piedras, PR
National Provider Identifier
1396311171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23164
- Practice address
- Carr. 22, Bo Monacillos, Centro Medico
Oficina 1-a-35
Rio Piedras, PR 00935 - Phone
- (787) 474-0333
- NPI assigned
- Jun 2, 2021
- Last updated
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 23164 | PR | Primary |
| General Practice Physician | 208D00000X | 23164 | PR |
Addresses
Primary practice location
Carr. 22, Bo Monacillos, Centro Medico
Oficina 1-a-35
Rio Piedras, PR 00935
Mailing address
PO Box 3527
Guaynabo, PR 00970-3527
Phone (787) 399-8183
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23164 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1396311171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3527",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009703527",
"telephone_number": "787-399-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 22, BO MONACILLOS, CENTRO MEDICO",
"address_2": "OFICINA 1-A-35",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "00935",
"telephone_number": "787-474-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-NAZARIO",
"first_name": "CHRISTIAN",
"middle_name": "XAVIER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-02",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "23164",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23164",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.