Renil Marie Rodriguez Martinez, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A142703 Issued in CA

Practice address

9898 Genesee Ave
La Jolla, CA 92037-1205

Phone

(858) 824-5335

Fax

(858) 964-3130

NPI assigned

Jul 1, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

EndocrinologyAlso: Internal Medicine

Education

University of Puerto Rico School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Vision Medical Diagnostics LLCGroup PAC ID 5496990582, shared by 2 NPIs, 5 clinicians

Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Endocrinology and Diabetes Wellness CenterGroup PAC ID 7416290820, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Universitario de Adulto Hospital, Rio Piedras, PR, CCN 400061
• Hospital Centro Comprensivo del Cancer Hospital, San Juan, PR, CCN 400135
• Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rrodriguezmartinez25807@scrippshlth.medalliesdirect.net

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.

• Endocrinology and Diabetes Wellness Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Manati, PR
  • NPI 1023588514
  Medicare reassignment Care Compare group NPD
• Recinto de Ciencias Medicas

  • Endocrinology, Diabetes & Metabolism Physician
  • San Juan, PR
  • NPI 1154356558
  Medicare reassignment Care Compare group NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Recinto de Ciencias Medicas

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD
• Departamento de Salud Oficial

  • General Acute Care Hospital
  • Rio Piedras, PR
  • NPI 1407859036
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centro de Cancer de la Universidad

  • Special Hospital
  • San Juan, PR
  • NPI 1003366527
  Care Compare affiliation
• Departamento de Salud Oficial

  • General Acute Care Hospital
  • Rio Piedras, PR
  • NPI 1407859036
  Care Compare affiliation
• Dorado Health Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  Care Compare affiliation

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1477817757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "858-824-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 GENESEE AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371205",
            "telephone_number": "858-824-5335",
            "fax_number": "858-964-3130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "MMC Prof Plaza Urb Atenas",
            "address_2": "Calle Hdz Carrion Oficina 512",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-621-4828",
            "fax_number": "787-621-2603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Jose C Vazquez #13",
            "address_purpose": "LOCATION",
            "city": "Aibonito",
            "state": "PR",
            "postal_code": "00705",
            "country_code": "US",
            "telephone_number": "787-378-2786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ MARTINEZ",
        "first_name": "RENIL",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A142703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR MEDICAL LICENSE",
            "identifier": "22609",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Rocha Jr., PT
• Valerie Denise Rock, PSYD
• Enid Rockwell, M.D.
• Christopher Rodarte, MD
• Janet Amy Rodelo, OTD, OTR/L, CLT
• Krista Michelle Rodriguez-Bruno, M.D.
• Abner Rodriguez
• Vanessa Rodriguez
• Timothy Charles Rodwell, M.D., PH.D., M.P.H
• Erin Elizabeth Roesch, M.D.

• Endocrinology, Diabetes & Metabolism Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.