Eduardo Rodriguez Vazquez

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5222 Issued in PR

Practice address

3 Jose Mendez Cardona Ave.
San Sebastian, PR 00685-0486

Phone

(787) 896-1850

Fax

(787) 280-1698

NPI assigned

Jun 16, 2006

Last updated

Jul 10, 2017By 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 1

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

Specialty

General Practice

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Centro de Diagnostico Y Tratamiento de San Sebastian IncGroup PAC ID 7315924933, 8 clinicians

Policlinica Familiar Shalom IncGroup PAC ID 8921373093, 5 clinicians

Practice addresses (Care Compare)

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.

• Centro de Diagnostico Y Tratamiento de San Sebastian Inc

  • Health Service Clinic/Center
  • San Sebastian, PR
  • NPI 1164466363
  Medicare reassignment Care Compare group Authorized official
• Policlinica Familiar Shalom Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Quebradillas, PR
  • NPI 1831302173

  General Practice

  Medicare reassignment Care Compare group NPD
• Centro Radiologico Shalom Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Quebradillas, PR
  • NPI 1548570211
  Medicare reassignment NPD
• Centro de Diagnostico Y Tratamiento de San Sebastian Inc

  dba Grupo Radiologico Centro Medicina

  • Diagnostic Radiology Physician
  • San Sebastian, PR
  • NPI 1063694453
  Authorized official Same address or phone
• Centro de Diagnostico Y Tratamiento de San Sebastian Inc

  • Clinical Medical Laboratory
  • San Sebastian, PR
  • NPI 1962684357
  Authorized official Same address or phone
• Laboratorio Clinico Shalom Corporation

  • Clinical Medical Laboratory
  • Quebradillas, PR
  • NPI 1487709721
  NPD (past) Authorized official
• Policlinica Familiar Shalom Inc

  dba Servicios Preventivos de Salud de Mayaguez Puerto Rico

  • Public Health & General Preventive Medicine Physician
  • Mayaguez, PR
  • NPI 1619580321
  NPD
• Policlinica Familiar Shalom Inc

  • Public Health & General Preventive Medicine Physician
  • Quebradillas, PR
  • NPI 1992233522
  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1457395683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850486",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JOSE MENDEZ CARDONA AVE.",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850486",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ VAZQUEZ",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Del Carmen Rodriguez - Diaz
• Jonathan Ivan Rodriguez Arocho, D.C.
• Juan Carlos Rodriguez Badillo, MD
• Emilio Rodriguez Lamourt
• Yolanda Rodriguez Morales, DO
• Jose Enrique Rodriguez-Rosa, MD
• Arlene Rodriguez, PSY D
• Jose Carlos Rodriguez
• Josue Manuel Rodriguez, PT DPT MCMT
• Priscilla Del Mar Rodriguez

• General Practice Physician in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.

Verify at the official NPI Registry.