Edgar Antonio Rodriguez Nazario, M.D.
Individual provider Active NPI Family Medicine Physician · Rincon, PR
NPI 1508961558 · NPPES record last updated Oct 26, 2010
Key facts
- NPI
- 1508961558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 12331 (PR)
- Practice address
- 28 Calle Munoz Rivera W
Rincon, PR 00677-2127 - Phone
- (787) 823-5555
- Fax
- (787) 823-2390
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Costa Salud Community Health Centers Inc
Practice addresses (Care Compare)
28 Calle Munoz Rivera W
Rincon, PR 00677-2127
Phone 7878235500179
Hospital & facility affiliations
- Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040826000811 | PR | Practitioner - Family Practice | 3072588839 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Costa Salud Community Health Centers, Inc | Current |
Accepting new patients | |
| Costa Salud Community Health Centers, Inc. | Current |
Accepting new patients | |
| Servicios Medicos Las Marias | Past | Accepting new patients | |
| Bella Vista Hospital Inc | Past | Accepting new patients |
Locations
28 Calle Munoz Rivera W
Rincon, PR 00677
Phone (787) 823-5500
Interoperability endpoints
- edgar.rodriguez@costasalud.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12331 | PR | Yes |
Addresses
Primary practice location
28 Calle Munoz Rivera W
Rincon, PR 00677-2127
Mailing address
PO Box 638
Rincon, PR 00677-0638
Phone (787) 823-5555
Other providers in Rincon, PR
- Andrea Maria Rivera Acevedo
- Irma Nydia Rivera Silva
- Elane Rivera-Velez
- Dalibeth Rivera
- Randy G Rivera
- Fidel Rodriguez Torres Jr.
- Ana Laura Rodriguez
- Emybelle Rodriguez
- Madeline Rodriguez
- Alyssa Russe
All providers in Rincon, PR · Family Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.