Individual provider Active NPI

Rolando Ernesto Rodriguez Diaz, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1467271072
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24401 Issued in PR
Practice address
2621 Blvd Luis a Ferre
Ponce, PR 00717-2106
Phone
(939) 438-4757
NPI assigned
Oct 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 24401 PR Primary

Addresses

Primary practice location

2621 Blvd Luis a Ferre
Ponce, PR 00717-2106

Mailing address

2621 Blvd Luis a Ferre
Ponce, PR 00717-2106
Phone (939) 438-4757

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505004535 PR Practitioner - General Practice 6204304538 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2821 Blvd Luis a Ferre
Ponce, PR 00717-2106
Phone (939) 438-4757

HC 02 Box
Arecibo, PR 00612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24401PRMDGeneral Practice Physician

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.

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1467271072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 BLVD LUIS A FERRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172106",
            "telephone_number": "939-438-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 BLVD LUIS A FERRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172106",
            "telephone_number": "939-438-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ DIAZ",
        "first_name": "ROLANDO",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.