Patricia Rodriguez, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

9953 Issued in PR

Practice address

Consolidated Mall
Gautier Benitez # 202 Office C1D
Caguas, PR 00726

Phone

(787) 258-0999

NPI assigned

Apr 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1497718050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8038",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268038",
            "telephone_number": "787-258-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MALL",
            "address_2": "GAUTIER BENITEZ # 202 OFFICE C1D",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-258-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "9953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S, INC.",
            "identifier": "82165RO",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nydia Ivellisse Rodriguez
• Olga Belen Rodriguez
• Olga Maria Rodriguez, PSYCHOLOGIST
• Olga Noemi Rodriguez, M.A.
• Olga S Rodriguez, MD
• Rafael Rodriguez, MSW
• Raul Jose Rodriguez
• Sandra I. Rodriguez, O.D.
• Shirley Esther Rodriguez, O.T.A.
• Sofia Isabel Rodriguez, DMD

• Specialist in Caguas, PR
• Providers in Caguas, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.