Individual provider Active NPI

Edgar Antonio Rodriguez Nazario, M.D.

  • Family Medicine Physician
  • Rincon, PR
National Provider Identifier
1508961558
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12331 Issued in 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
Last updated
Oct 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12331 PR Primary

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

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
I20040826000811 PR Practitioner - Family Practice 3072588839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

28 Calle Munoz Rivera W
Rincon, PR 00677-2127
Phone 7878235500179

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Costa Salud Community Health Centers, Inc CurrentSince Mar 3, 2003 Accepting new patients
Costa Salud Community Health Centers, Inc. CurrentSince Mar 3, 2003 Accepting new patients
Bella Vista Hospital Inc Past Accepting new patients
Servicios Medicos Las Marias Past Accepting new patients

Locations

28 Calle Munoz Rivera W
Rincon, PR 00677
Phone (787) 823-5500

Interoperability endpoints

  • Direct secure messaging: edgar.rodriguez@costasalud.directbygreenway.com

Organizations & group practices 4

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1508961558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006770638",
            "telephone_number": "787-823-5555",
            "fax_number": "787-823-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CALLE MUNOZ RIVERA W",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006772127",
            "telephone_number": "787-823-5555",
            "fax_number": "787-823-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ NAZARIO",
        "first_name": "EDGAR",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, PR

Sources for this page

Verify at the official NPI Registry.