Individual provider Active NPI

Ruben Rodriguez-Perez Sr., MD

  • Pulmonary Disease Physician
  • San Juan, PR
National Provider Identifier
1508971128
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5816 Issued in PR
Practice address
Carr 21 #1785
Hospital Metropolitano Office 104 Las Lomas
San Juan, PR 00921-1981
Phone
(787) 782-9999
Fax
(787) 783-7097
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 5816 PR Primary

Addresses

Primary practice location

Carr 21 #1785
Hospital Metropolitano Office 104 Las Lomas
San Juan, PR 00921-1981

Mailing address

P.O Box 361080
San Juan, PR 00936
Phone (787) 783-7097

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
I20111130000575 PR Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0749454742 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Puerto Rico School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 21 S-3 Num
San Juan, PR 00921
Phone (787) 783-7097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5816PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1508971128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 361080",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-783-7097",
            "fax_number": "787-783-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 21 #1785",
            "address_2": "HOSPITAL METROPOLITANO OFFICE 104 LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211981",
            "telephone_number": "787-782-9999",
            "fax_number": "787-783-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-PEREZ",
        "first_name": "RUBEN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "5816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.