Enrique Rodriguez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18020 Issued in PR

Practice address

Urb. Quintas del Sur Calle 9
J 31
Ponce, PR 00728

Phone

(787) 601-3729

NPI assigned

Sep 24, 2010

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Complete Medical Healthcare Center

  • General Practice Physician
  • Yauco, PR
  • NPI 1104637966
  Medicare reassignment NPD
• Mennonite General Hospital Inc

  • General Acute Care Hospital
  • Aibonito, PR
  • NPI 1851320394
  Medicare reassignment NPD
• Mennonite General Hospital Inc.

  dba Centro de Salud Conductual Menonita CIMA-Ponce

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
  • NPI 1144099813
  NPD
• Kiana Med Services Inc

  • General Practice Physician
  • Ponce, PR
  • NPI 1235584624
  NPD (past)

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1417266453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8243",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328243",
            "telephone_number": "787-601-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. QUINTAS DEL SUR CALLE 9",
            "address_2": "J 31",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-601-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delma Rodriguez, BS MT
• Diana Maria Rodriguez, PSYD
• Eddie Gabriel Rodriguez, M.D.
• Edgar Luis Rodriguez
• Elaine Aixa Rodriguez, MPT
• Etervina Rodriguez
• Francisco Rodriguez, MD
• Francisco Alejandro Rodriguez
• Freddie Rodriguez
• Gerardo Rodriguez

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.