Individual provider Active NPI

Rodolfo Rodriguez, M:D:

  • Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1578540423
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
3665 Issued in PR
Practice address
956 Ave Americo Miranda
Reparto Metropolitano
San Juan, PR 00921-2802
Phone
(787) 751-1318
Fax
(787) 751-1318
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 3665 PR Primary

Addresses

Primary practice location

956 Ave Americo Miranda
Reparto Metropolitano
San Juan, PR 00921-2802

Mailing address

956 Ave Americo Miranda
Reparto Metropolitano
San Juan, PR 00921-2802
Phone (787) 751-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1578540423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 AVE AMERICO MIRANDA",
            "address_2": "REPARTO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212802",
            "telephone_number": "787-751-1318",
            "fax_number": "787-751-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 AVE AMERICO MIRANDA",
            "address_2": "REPARTO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212802",
            "telephone_number": "787-751-1318",
            "fax_number": "787-751-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RODOLFO",
        "name_prefix": "Dr.",
        "credential": "M:D:",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "3665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.