Active NPI
Carlos Omar Rodriguez, M.D.
- Cardiovascular Disease Physician
- Caguas, PR
National Provider Identifier
1467533612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 14680
- Practice address
- C-2 Consolidated Mall Ave. Gautier Benitez
Caguas, PR 00726-5307 - Phone
- (787) 743-2378
- Fax
- (787) 743-1225
- NPI assigned
- Oct 17, 2006
- Last updated
- Feb 27, 2024
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 14680 | PR | Primary |
Addresses
Primary practice location
C-2 Consolidated Mall Ave. Gautier Benitez
Caguas, PR 00726-5307
Mailing address
PO Box 5307
Caguas, PR 00726-5307
Phone (787) 743-2378
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Ponce School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30 Calle Padial
Suite 230
Caguas, PR 00725-3841
Phone (787) 747-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transcatheter Medical CSP | Past | Accepting new patients | |
| Caguas Cardio Center CSP | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Caguas, PR
- NPI 1508269689
-
- Cardiovascular Disease Physician
- Caguas, PR
- NPI 1336224252
-
- Interventional Cardiology Physician
- Rio Piedras, PR
- NPI 1275618100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1467533612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5307",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007265307",
"telephone_number": "787-743-2378",
"fax_number": "787-743-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C-2 CONSOLIDATED MALL AVE. GAUTIER BENITEZ",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007265307",
"telephone_number": "787-743-2378",
"fax_number": "787-743-1225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "CARLOS",
"middle_name": "OMAR",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "14680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.