Individual provider Active NPI

Maria Alejandra Cuautli Rodriguez, MD

  • General Practice Physician
  • Utuado, PR
National Provider Identifier
1629002134
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10328 Issued in PR
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

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8-4556(CU)OtherPRTRIPLE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
10328PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.