Individual provider Active NPI

Anatila Rodriguez, MD

  • Internal Medicine Physician
  • San German,, PR
National Provider Identifier
1588647382
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6511 Issued in PR
Practice address
Calle Sol Esquina Concepcion #12
San German,, PR 00683
Phone
(787) 892-2004
Fax
(787) 892-2004
NPI assigned
Nov 25, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 006511 PR
Internal Medicine Physician 207R00000X 6511 PR Primary

Addresses

Primary practice location

Calle Sol Esquina Concepcion #12
San German,, PR 00683

Mailing address

13 Calle Guayacan
#19 Sol
San German, PR 00683-9553
Phone (787) 643-6453

Other practice location 1

13 Calle Guayacan
Los Sauces
San German, PR 00683-9553
Phone (787) 643-6453

Other identifiers 9

IdentifierTypeStateIssuer
5361OtherPRFIRST MEDICAL
PE1426OtherPRPALIC
067382OtherPRCRUZ AZUL
14743OtherPRPREFERED HEALTH
19255025OtherPRPROSSAM
1496OtherPRPREFERED MEDICARE CHOICE
7530006OtherPRHUMANA
80843ROOtherPRTRIPLE SSS
1108328OtherPRACAA

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
I20071004000772 PR Practitioner - Internal Medicine 6204921232 Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Sol Esquina Concepcion
Suite 12
San German, PR 00683
Phone (787) 892-2004

Urb Los Sauces
13 Guayacan Street
San German, PR 00683

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1588647382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CALLE GUAYACAN",
            "address_2": "#19 SOL",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839553",
            "telephone_number": "787-643-6453",
            "fax_number": "787-892-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SOL ESQUINA CONCEPCION #12",
            "city": "SAN GERMAN,",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-2004",
            "fax_number": "787-892-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Calle Guayacan",
            "address_2": "Los Sauces",
            "address_purpose": "LOCATION",
            "city": "San German",
            "state": "PR",
            "postal_code": "006839553",
            "country_code": "US",
            "telephone_number": "787-643-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANATILA",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "006511",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "6511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "5361",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PE1426",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "067382",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED HEALTH",
            "identifier": "14743",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSAM",
            "identifier": "19255025",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED MEDICARE CHOICE",
            "identifier": "1496",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7530006",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "80843RO",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "1108328",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San German,, PR

Sources for this page

Verify at the official NPI Registry.