Active NPI
Lorna Aimee Rodriguez, D.M.D.
- General Practice Dentistry
- San Juan, PR
National Provider Identifier
1407883168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1179
- Practice address
- 1453 Ave San Ignacio
Altamesa
San Juan, PR 00921-4718 - Phone
- (787) 792-1391
- Fax
- (797) 792-1391
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1179 | PR | Primary |
Addresses
Primary practice location
1453 Ave San Ignacio
Altamesa
San Juan, PR 00921-4718
Mailing address
PO Box 2440
Guaynabo, PR 00970
Phone (787) 792-1391
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1179 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1407883168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2440",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00970",
"telephone_number": "787-792-1391",
"fax_number": "787-792-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1453 AVE SAN IGNACIO",
"address_2": "ALTAMESA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009214718",
"telephone_number": "787-792-1391",
"fax_number": "797-792-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LORNA",
"middle_name": "AIMEE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.