Jonathan Rodriguez Soto, OTL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1112 Issued in PR

Practice address

740 Ave Hostos Edificio
Medical Center Plaza Suite 316
Mayaguez, PR 00680-9766

Phone

(787) 454-6966

Fax

(787) 229-8692

NPI assigned

Aug 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Special Needs Services

  • Case Management Agency
  • Mayaguez, PR
  • NPI 1861860397
  NPD (past) Authorized official

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

{
    "created_epoch": "1312675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1407135510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 33234",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029766",
            "telephone_number": "787-454-6966",
            "fax_number": "787-229-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 AVE HOSTOS EDIFICIO",
            "address_2": "MEDICAL CENTER PLAZA SUITE 316",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006809766",
            "telephone_number": "787-454-6966",
            "fax_number": "787-229-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ SOTO",
        "first_name": "JONATHAN",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-07",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denisse Maria Rodriguez Rodriguez, PHARMD
• Maria F Rodriguez Rosario, M.D.
• Rafael E Rodriguez Sanchez
• Gabriel Alejandro Rodriguez Sarraga
• Janeri Rodriguez Serrano, MSW
• Elisa J Rodriguez Tirado, PSY D.
• Laura V Rodriguez Torres, M.D.
• Natividad Antonia Rodriguez Vargas, MD
• Francheska Lee Rodriguez Vega, MD
• Betzaida Rodriguez Velez, DR.

• Occupational Therapist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Occupational Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.