Jose G Rodriguez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

8108 Issued in PR

Practice address

Cond El Cid
660 Ave Miramar
San Juan, PR 00907-3452

Phone

(787) 798-3001

Fax

(787) 269-1352

NPI assigned

Jun 7, 2006

Last updated

Sep 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Univ Central del Caribe

  • Physical Medicine & Rehabilitation Physician
  • Bayamon, PR
  • NPI 1811348998
  Authorized official Same address or phone
• Universidad Central del Caribe Inc

  • Urology Physician
  • Bayamon, PR
  • NPI 1902352321
  Authorized official Same address or phone
• Universidad Central del Caribe Inc

  • Physical Therapist
  • Bayamon, PR
  • NPI 1982150462
  Authorized official Same address or phone
• Universidad Central del Caribe, Inc.

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1598824765

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1417997669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND EL CID",
            "address_2": "660 AVE MIRAMAR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073452",
            "telephone_number": "787-798-3001",
            "fax_number": "787-269-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND EL CID",
            "address_2": "660 AVE MIRAMAR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073452",
            "telephone_number": "787-798-3001",
            "fax_number": "787-269-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8108",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "8108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Marie Rodriguez, PSY. D.
• Johana Rodriguez, O.D
• Johanna Rodriguez
• Johnny Arturo Rodriguez, MD
• Jose Antonio Rodriguez, MD,PSC
• Jose Luis Rodriguez
• Josefa Rodriguez, CRNA
• Josue Bautista Rodriguez, D.C.
• Juan Francisco Rodriguez, MD
• Julio Armando Rodriguez, MD

• Pediatrics Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.