Individual provider Active NPI

Maite Ferrer Rodriguez

  • General Practice Physician
  • Trujillo Alto, PR
National Provider Identifier
1568085843
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22375 Issued in PR
Practice address
Condominio Plaza del Parque
R3 Edificio 4
Trujillo Alto, PR 00976-0097
Phone
(939) 645-7142
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 22375 PR Primary

Addresses

Primary practice location

Condominio Plaza del Parque
R3 Edificio 4
Trujillo Alto, PR 00976-0097

Mailing address

Urbanizacion Venus Gardens
685 Calle Leo
San Juan, PR 00926-4813

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
I20210930001172 PR Practitioner - General Practice 3476950619 Reassigns benefits to 1 organization
Practice locations: Carolina, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
San Juan Bautista School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Avenida Rafael Cordero Esq Troche
Caguas, PR 00725
Phone 7877450340486

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22375PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc CurrentSince Sep 13, 2024 Accepting new patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc. General Practice Current Accepting new patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc CurrentSince Sep 13, 2024 Accepting new patients
CCS PSC Past Accepting new patients
Interventional Solutions PSC Past Accepting new patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc PastSince Sep 13, 2024 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": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1568085843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION VENUS GARDENS",
            "address_2": "685 CALLE LEO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO PLAZA DEL PARQUE",
            "address_2": "R3 EDIFICIO 4",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009760097",
            "telephone_number": "939-645-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRER RODRIGUEZ",
        "first_name": "MAITE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.