Individual provider Active NPI

Javier J Rodriguez-Becerra, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Manati, PR
National Provider Identifier
1467413633
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
13598 Issued in PR
Practice address
Urb Flamboyan
Calle McKinley I 26
Manati, PR 00674-5438
Phone
(787) 854-7270
Fax
(787) 857-1737
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 13598 PR Primary

Addresses

Primary practice location

Urb Flamboyan
Calle McKinley I 26
Manati, PR 00674-5438

Mailing address

400 Calle Kalaf
PMB 59
San Juan, PR 00918-1314
Phone (787) 854-7270

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
I20031128000009 PR Practitioner - PathologyPractitioner - General Practice 2163327503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Puerto Rico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic PathologyGroup PAC ID 6406045053, 2 clinicians

Practice addresses (Care Compare)

26 Calle McKinley
Manati, PR 00674-5065
Phone (787) 854-7270

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Pathology CurrentSince Oct 4, 2010 Accepting new patients
Hato Rey Pathology Associates Past Accepting new patients

Locations

1 Calle Jose D Candelas
Ste 101
Manati, PR 00674
Phone (787) 221-0171

400 Calle Kalaf
San Juan, PR 00918
Phone (787) 221-0171

Organizations & group practices 2

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1467413633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE KALAF",
            "address_2": "PMB 59",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181314",
            "telephone_number": "787-854-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB FLAMBOYAN",
            "address_2": "CALLE MCKINLEY I 26",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745438",
            "telephone_number": "787-854-7270",
            "fax_number": "787-857-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-BECERRA",
        "first_name": "JAVIER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "13598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.