Individual provider Active NPI

Jose C Rodriguez Portela, DPM

  • Podiatrist
  • Vega Alta, PR
National Provider Identifier
1427142645
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
103 Issued in PR
Practice address
Caribe Medical Plaza Suite 201
Urb Santa Rita Marginal 1
Vega Alta, PR 00692
Phone
(787) 270-1333
Fax
(787) 270-1330
NPI assigned
Oct 3, 2006
Last updated
Jul 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 103 PR Primary

Addresses

Primary practice location

Caribe Medical Plaza Suite 201
Urb Santa Rita Marginal 1
Vega Alta, PR 00692

Mailing address

PO Box 1886
Vega Baja, PR 00694
Phone (787) 270-1333

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121016000167 PR Practitioner - Podiatry 0143470807 Practice locations: Vega Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Caribe Medical Plaza
Suite 201 Marginal Santa Rita Caribbean Foo
Vega Alta, PR 00692
Phone (787) 270-1333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue164
Removal of nail tissue2301
Removal or shaving of skin growth709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Foot Clinic, LLC. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jose.rodriguezportela@3880.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1427142645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1886",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00694",
            "telephone_number": "787-270-1333",
            "fax_number": "787-270-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIBE MEDICAL PLAZA SUITE 201",
            "address_2": "URB SANTA RITA MARGINAL 1",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-270-1333",
            "fax_number": "787-270-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ PORTELA",
        "first_name": "JOSE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PR",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.