Active NPI
Jesus Rodriguez, M.D.,F.A.C.O.G,F.A.C
- Specialist
- San Juan, PR
National Provider Identifier
1619910122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4291
- Practice address
- 158 Calle Los Mirtos
Hyde Park
San Juan, PR 00927-4236 - Phone
- (787) 250-0276
- Fax
- (787) 756-5618
- NPI assigned
- Jun 13, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4291 | PR | Primary |
Addresses
Primary practice location
158 Calle Los Mirtos
Hyde Park
San Juan, PR 00927-4236
Mailing address
PO Box 194557
San Juan, PR 00919-4557
Phone (787) 250-0276
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120709000337 | PR | Practitioner - Obstetrics/Gynecology | 0244495745 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Puerto Rico School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Los Mirtos
158 Urb Hyde Park
San Juan, PR 00926
Phone (787) 250-0276
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
-
dba Hospital Pavia Santurce
- General Acute Care Hospital
- San Juan, PR
- NPI 1467417865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619910122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 194557",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009194557",
"telephone_number": "787-250-0276",
"fax_number": "787-756-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 CALLE LOS MIRTOS",
"address_2": "HYDE PARK",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274236",
"telephone_number": "787-250-0276",
"fax_number": "787-756-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JESUS",
"name_prefix": "Dr.",
"credential": "M.D.,F.A.C.O.G,F.A.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "4291",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.