Individual provider Active NPI

Rafael Gonzalez Rodriguez, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1407815269
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
009989 Issued in PR
Practice address
1451 Ave Ashford
Ashford Presbyterian Community Hospital
San Juan, PR 00902-0032
Phone
(787) 721-2160
NPI assigned
Mar 21, 2006
Last updated
Apr 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 9989 PR
Pediatric Nephrology Physician 2080P0210X 9989 PR
General Practice Physician 208D00000X 009989 PR Primary

Addresses

Primary practice location

1451 Ave Ashford
Ashford Presbyterian Community Hospital
San Juan, PR 00902-0032

Mailing address

621 Northcoast VLG
Vega Alta, PR 00692-8720
Phone (787) 688-8375

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260318003998 PR Practitioner - NephrologyPractitioner - Pediatric Medicine 2860803269 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Pediatric Medicine
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

523 Sergio Cuevas Bustamante St
Parque Central
San Juan, PR 00918-3747

523 Sergio Cuevas Bustamante Street P
San Juan, PR 00918
Phone (787) 688-8375

523 Sergio Cuevas Bustamante Street Parque Centra
San Juan, PR 00918

Villa Lissette
A4 Calle Benitez
Guaynabo, PR 00969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9989PRMDPediatric Nephrology Physician
009989PRMDGeneral Practice Physician

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Presbyterian Community Hospital, Inc.San Juan, PR, CCN 400001 Hospital Corporate Director Nov 8, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1407815269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 NORTHCOAST VLG",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006928720",
            "telephone_number": "787-688-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 AVE ASHFORD",
            "address_2": "ASHFORD PRESBYTERIAN COMMUNITY HOSPITAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009020032",
            "telephone_number": "787-721-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ RODRIGUEZ",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "PR",
            "license": "9989",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "PR",
            "license": "9989",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "009989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.