Mayra Ivelisse Rodriguez Mateo, MD

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

572-P.A. Issued in PR

Practice address

8 Calle Colon Pacheco
Salinas, PR 00751-3344

Phone

(787) 223-3850

NPI assigned

Aug 6, 2025

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1417832726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "007040424",
            "telephone_number": "787-223-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE COLON PACHECO",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007513344",
            "telephone_number": "787-223-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MATEO",
        "first_name": "MAYRA",
        "middle_name": "IVELISSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "572-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Rivera Rivera
• Dalimar Sophia Rivera
• Gloriek M Rivera
• Dagmar Rodriguez Diaz
• Ciomary Rodriguez Lebron, RDN
• Jose O Rodriguez Zayas, M.D.
• Arelis Rodriguez
• Ingrid G Rodriguez, RPH
• Luis Alberto Rodriguez
• Vilmary Rodriguez

• Medical Physician Assistant in Salinas, PR
• Providers in Salinas, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.