Individual provider Active NPI

Cesar Manuel Rodriguez Perez, MD

  • General Practice Physician
  • Coto Laurel, PR
National Provider Identifier
1508742404
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
024580 Issued in PR
Practice address
Llanos del Sur
464 Calle Jazmin
Coto Laurel, PR 00780-2834
Phone
(787) 392-8087
NPI assigned
Aug 14, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 024580 PR Primary

Addresses

Primary practice location

Llanos del Sur
464 Calle Jazmin
Coto Laurel, PR 00780-2834

Mailing address

Llanos del Sur
464 Calle Jazmin
Coto Laurel, PR 00780
Phone (787) 392-8087

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
I20251215003810 PR Practitioner - General Practice 3274027479 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mennonite General Hospital IncGroup PAC ID 6709843964, 47 clinicians
Salud Integral En la Montana IncGroup PAC ID 8527972827, shared by 11 NPIs, 64 clinicians

Practice addresses (Care Compare)

Calle Jose C Vazquez
Barrio Caonillas
Aibonito, PR 00705-1379
Phone (787) 434-1700

Carr 156 Calle Barcelo
Suite 53
Barranquitas, PR 00794-1735
Phone (787) 857-2688

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024580PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince Oct 6, 2025 Accepting new patients
Mennonite General Hospital, Inc CurrentSince Oct 6, 2025 Accepting new patients
Aurum Medical Group LLC General Practice CurrentSince Sep 26, 2025 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Dec 10, 2025 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Dec 10, 2025 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Dec 10, 2025 Accepting new patients
Salud Integral En la Montana, Inc General Practice Past Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1508742404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LLANOS DEL SUR",
            "address_2": "464 CALLE JAZMIN",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-392-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LLANOS DEL SUR",
            "address_2": "464 CALLE JAZMIN",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802834",
            "telephone_number": "787-392-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ PEREZ",
        "first_name": "CESAR",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "024580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.