Active NPI
Maria Alejandra Cuautli Rodriguez, MD
- General Practice Physician
- Utuado, PR
National Provider Identifier
1629002134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 10328
- Practice address
- PR-111 KM 1.8
Utuado, PR 00641-1500 - Phone
- (787) 894-8880
- Fax
- (787) 894-8880
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 10328 | PR | Primary |
Addresses
Primary practice location
PR-111 KM 1.8
Utuado, PR 00641-1500
Mailing address
PO Box 1500
Utuado, PR 00641-1500
Phone (787) 894-8880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8-4556(CU) | Other | PR | TRIPLE S PROVIDER NUMBER |
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 |
|---|---|---|---|---|
| I20101115000802 | PR | Practitioner - General Practice | 3971595984 | Practice locations: Utuado, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10328 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Diagnostico Y Tratamiento Dr Caparros Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Utuado, PR
- NPI 1659330884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1629002134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1500",
"city": "UTUADO",
"state": "PR",
"postal_code": "006411500",
"telephone_number": "787-894-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PR-111 KM 1.8",
"city": "UTUADO",
"state": "PR",
"postal_code": "006411500",
"telephone_number": "787-894-8880",
"fax_number": "787-894-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUAUTLI RODRIGUEZ",
"first_name": "MARIA",
"middle_name": "ALEJANDRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "10328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S PROVIDER NUMBER",
"identifier": "8-4556(CU)",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Utuado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.