Individual provider Active NPI

Ivonne Esther Rodriguez, MD

  • Specialist
  • San Juan, PR
National Provider Identifier
1609989557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10142 Issued in PR
Practice address
1683 Calle Portugues # 1
Rio Piedras Heights
San Juan, PR 00926-3117
Phone
(787) 758-5074
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10142 PR Primary

Addresses

Primary practice location

1683 Calle Portugues # 1
Rio Piedras Heights
San Juan, PR 00926-3117

Mailing address

1683-1 Calle Portugues
Rio Piedras Heights
San Juan, PR 00926-3117
Phone (787) 758-5074

Other names 1

  • Ivonne Esther Rodriguez Former name

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609989557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683-1 CALLE PORTUGUES",
            "address_2": "RIO PIEDRAS HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263117",
            "telephone_number": "787-758-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 CALLE PORTUGUES # 1",
            "address_2": "RIO PIEDRAS HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263117",
            "telephone_number": "787-758-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "IVONNE",
        "middle_name": "ESTHER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "10142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVONNE",
            "last_name": "RODRIGUEZ",
            "middle_name": "ESTHER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.