Active NPI
Segundo A Rodriguez, M.D
- Colon & Rectal Surgery Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 011740
- Practice address
- 611 Calle Pavia
Suite 110
San Juan, PR 00909-2239 - Phone
- (787) 727-4737
- Fax
- (787) 727-4714
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 011740 | PR | Primary |
| Specialist | 174400000X |
Addresses
Primary practice location
611 Calle Pavia
Suite 110
San Juan, PR 00909-2239
Mailing address
611 Calle Pavia
Suite 110
San Juan, PR 00909-2239
Phone (787) 727-4737
Other names 1
- Dr. Segundo A Rodriguez
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- University Central del Caribe Escuela de Medicina, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2145
Phone (787) 727-6060
611 Calle Mauel Pavia
Suite 110
Santurce, PR 00910-0001
Phone (787) 727-4737
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 80 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11740 | PR | MD | Social Worker |
| 011740 | PR | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Single Specialty | Current | Accepting new patients |
| Recinto de Ciencias Medicas | Single Specialty | Current | Accepting new patients |
| Departamento de Salud Oficial | Past | Accepting new patients | |
| Metro Santurce, Inc. | Single Specialty | Past | Accepting new patients |
Locations
BO Monacillos
San Juan, PR 00935
Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149
BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440
BO Monacillos Centro Medico De
San Juan, PR 00935
Phone 78775825252379
Organizations & group practices 4
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.
-
dba Cirugia Colorrectal RCM
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
Single Specialty
-
dba Recinto de Ciencias Medicas-(Cirugia General-RCM)
- Surgery Physician
- San Juan, PR
- NPI 1992737217
Single Specialty
-
- General Acute Care Hospital
- Rio Piedras, PR
- NPI 1407859036
-
dba Hospital Pavia Santurce
- General Acute Care Hospital
- San Juan, PR
- NPI 1467417865
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
-
dba Hospital Pavia Santurce
- General Acute Care Hospital
- San Juan, PR
- NPI 1467417865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1417903220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 CALLE PAVIA",
"address_2": "SUITE 110",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092239",
"telephone_number": "787-727-4737",
"fax_number": "787-727-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 CALLE PAVIA",
"address_2": "SUITE 110",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092239",
"telephone_number": "787-727-4737",
"fax_number": "787-727-4714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "SEGUNDO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": "PR",
"license": "011740",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SEGUNDO",
"last_name": "RODRIGUEZ",
"middle_name": "A",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 6, 2020; 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.
- 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.