Carlos Rafael Rodriguez

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

268464 Issued in NY

Practice address

2771 Frederick Douglass
New York, NY 10039

Phone

(212) 690-0303

NPI assigned

Nov 18, 2011

Last updated

Mar 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Carlos Rafael Rodriguez-Jaquez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlos.rodriguezjaquez.p1@direct.ezramedical.nextgenshare.com

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.

• Essencare LLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1912406646
  NPD Authorized official
• David a. Colbert M.D., P.C.

  dba New York Dermatology Group

  • Dermatology Physician
  • New York, NY
  • NPI 1932355732

  Internal Medicine

  NPD (past)
• Department of Neurology Professional Services Group/Slrhc

  • Neurology Physician
  • New York, NY
  • NPI 1811974330
  NPD (past)

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1528335577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393027",
            "telephone_number": "212-690-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 FREDERICK DOUGLASS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10039",
            "telephone_number": "212-690-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARLOS",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-18",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "117610",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "268464",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "268464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "RODRIGUEZ-JAQUEZ",
            "middle_name": "RAFAEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bertha L. Rodriguez, MS ED
• Brenda Cheryl Rodriguez, SOCIAL WORKER
• Briana Rodriguez, BA
• Brittni Chelsea Rodriguez, OD
• Brunilda Rodriguez
• Carlyn Rodriguez
• Carmen Paola Rodriguez, LMHC
• Casiel Rodriguez, FNP
• Cecilia Dulay Rodriguez, RN
• Celine Rodriguez, LCSW

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.