Active NPI
Tomas Narvaez Rodriguez, MD
- General Practice Physician
- Utuado, PR
National Provider Identifier
1417949728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5032
- Practice address
- 340 Calle Fernando L Garcia
Utuado, PR 00641-3035 - Phone
- (787) 894-1488
- Fax
- (787) 894-1488
- NPI assigned
- Aug 22, 2005
- Last updated
- Dec 22, 2009
- Sex
- Male
- 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 Physician | 208D00000X | 5032 | PR | Primary |
Addresses
Primary practice location
340 Calle Fernando L Garcia
Utuado, PR 00641-3035
Mailing address
PO Box 1363
Utuado, PR 00641-1363
Phone (787) 894-1488
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2425 | Other | PR | IMC |
| 26592 | Other | PR | SSS |
| 65067 | Other | PR | CA |
| 15081 | Other | PR | AMPR |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101011000996 | PR | Practitioner - General Practice | 8628260536 | Practice locations: Utuado, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5032 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1417949728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1363",
"city": "UTUADO",
"state": "PR",
"postal_code": "006411363",
"telephone_number": "787-894-1488",
"fax_number": "787-894-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 CALLE FERNANDO L GARCIA",
"city": "UTUADO",
"state": "PR",
"postal_code": "006413035",
"telephone_number": "787-894-1488",
"fax_number": "787-894-1488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARVAEZ RODRIGUEZ",
"first_name": "TOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "5032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC",
"identifier": "2425",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "26592",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA",
"identifier": "65067",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMPR",
"identifier": "15081",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Utuado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.