Active NPI
Jose A Rodriguez, M.D.
- Neonatal-Perinatal Medicine Physician
- Ponce, PR
National Provider Identifier
1457310146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 11246
- Practice address
- 917 Ave Tito Castro
Ponce, PR 00716-4717 - Phone
- (787) 844-2080
- NPI assigned
- Mar 21, 2006
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 11246 | PR | Primary |
Addresses
Primary practice location
917 Ave Tito Castro
Ponce, PR 00716-4717
Mailing address
PO Box 11913
San Juan, PR 00922-1913
Phone (787) 999-0753
Other practice location 1
2213 Ponce by Pass
Hospital Damas 5TH Floor
Ponce, PR 00717-1318
Phone (787) 259-4427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11246 | PR | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Memorial Hospital Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Hospital San Lucas
- General Acute Care Hospital
- Ponce, PR
- NPI 1841295557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1457310146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11913",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009221913",
"telephone_number": "787-999-0753",
"fax_number": "787-780-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 AVE TITO CASTRO",
"city": "PONCE",
"state": "PR",
"postal_code": "007164717",
"telephone_number": "787-844-2080"
}
],
"practiceLocations": [
{
"address_1": "2213 PONCE BY PASS",
"address_2": "HOSPITAL DAMAS 5TH FLOOR",
"address_purpose": "LOCATION",
"city": "PONCE",
"state": "PR",
"postal_code": "007171318",
"country_code": "US",
"telephone_number": "787-259-4427",
"fax_number": "787-841-7228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JOSE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PR",
"license": "11246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.