Individual provider Active NPI

Joseph Rodriguez, M.D

  • Psychiatry Physician
  • Juana Diaz, PR
National Provider Identifier
1548425556
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17250 Issued in PR
Practice address
B13 Urb Monclova
Juana Diaz, PR 00795-2214
Phone
(787) 709-3743
NPI assigned
Jul 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17250 PR Primary
Child & Adolescent Psychiatry Physician 2084P0804X 17250 PR

Addresses

Primary practice location

B13 Urb Monclova
Juana Diaz, PR 00795-2214

Mailing address

PO Box 488
Juana Diaz, PR 00795-0488
Phone (787) 709-3743

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
I20151201001318 PR Practitioner - Psychiatry 3375610603 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17250PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novapsych PSC Psychiatry CurrentSince May 13, 2016 Accepting new patients
Novapsych PSC Psychiatry Past Accepting new patients
Novapsych PSC General Practice PastSince Jun 14, 2020 Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients
Tiber Health, Public Benefit Corporation Child & Adolescent Psychiatry Past Accepting new patients
Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc. Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1216512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1548425556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007950488",
            "telephone_number": "787-709-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B13 URB MONCLOVA",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007952214",
            "telephone_number": "787-709-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-20",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "17250",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "17250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.