Individual provider Active NPI

Marta M Rodriguez, DMD

  • General Practice Dentistry
  • Vega Alta, PR
National Provider Identifier
1396889481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2600 Issued in PR
Practice address
694 St, Barrio Espinosa KM. 0.1
Suite 3 Plaza Santa Ana
Vega Alta, PR 00692-1127
Phone
(787) 883-3998
Fax
(787) 883-3998
NPI assigned
Feb 20, 2007
Sex
Female
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
General Practice Dentistry 1223G0001X 2600 PR Primary

Addresses

Primary practice location

694 St, Barrio Espinosa KM. 0.1
Suite 3 Plaza Santa Ana
Vega Alta, PR 00692-1127

Mailing address

PO Box 1127
Vega Alta, PR 00692-1127
Phone (787) 883-3998

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
2600PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396889481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006921127",
            "telephone_number": "787-883-3998",
            "fax_number": "787-883-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 ST, BARRIO ESPINOSA KM. 0.1",
            "address_2": "SUITE 3 PLAZA SANTA ANA",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006921127",
            "telephone_number": "787-883-3998",
            "fax_number": "787-883-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARTA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, 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.