Active NPI
Javier Rodriguez-Rodriguez, M.D.
- General Practice Physician
- Ceiba, PR
National Provider Identifier
1548207756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14528
- Practice address
- 195 Ave Lauro Pinero
Ceiba, PR 00735-2701 - Phone
- (787) 677-1313
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14528 | PR | Primary |
Addresses
Primary practice location
195 Ave Lauro Pinero
Ceiba, PR 00735-2701
Mailing address
PO Box 1536
Yauco, PR 00698-1536
Phone (787) 677-1313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21622 | Other | PR | PROVEEDOR |
| A-877 | Other | PR | PROVEEDOR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051221000677 | PR | Practitioner - General Practice | 3173545837 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14528 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Memorial Hospital Inc | Past | Accepting new patients | |
| Sa Inc Medical Services | Past | Accepting new patients | |
| Ceiba Medical Services Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Ceiba, PR
- NPI 1316595804
-
- Clinic/Center
- Ceiba, PR
- NPI 1396188256
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1841295557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1548207756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1536",
"city": "YAUCO",
"state": "PR",
"postal_code": "006981536",
"telephone_number": "787-677-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 AVE LAURO PINERO",
"city": "CEIBA",
"state": "PR",
"postal_code": "007352701",
"telephone_number": "787-677-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-RODRIGUEZ",
"first_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVEEDOR",
"identifier": "21622",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVEEDOR",
"identifier": "A-877",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ceiba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.