Individual provider Active NPI

Roberto Sandoval Rodriguez, M.D.

  • Internal Medicine Physician
  • Cayey, PR
National Provider Identifier
1477542736
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10882 Issued in PR
Practice address
Carr 14
Cayey, PR 00736-4105
Phone
(787) 535-1001
Fax
(787) 738-1390
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10882 PR Primary

Addresses

Primary practice location

Carr 14
Cayey, PR 00736-4105

Mailing address

PO Box 8940
Caguas, PR 00726-8940
Phone (787) 535-1001

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
I20110201000686 PR Practitioner - Internal Medicine 8325227713 Reassigns benefits to 2 organizations
Practice locations: Cayey, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gemi PSCGroup PAC ID 0345568820, 9 clinicians

Practice addresses (Care Compare)

B41 Calle Elliot Velez
Manati, PR 00674-4615
Phone (787) 621-4364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10882PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gemipsc Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Hope Health PSC CurrentSince Jun 25, 2019 Accepting new patients

Locations

B41 Calle Elliot Velez
Manati, PR 00674
Phone (787) 621-4364

1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1477542736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8940",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268940",
            "telephone_number": "787-535-1001",
            "fax_number": "787-738-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 14",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364105",
            "telephone_number": "787-535-1001",
            "fax_number": "787-738-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL RODRIGUEZ",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.