Christian Rodriguez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21995 Issued in PR

Practice address

1396 Calle San Rafael
Medical Pavilion, Suite 5
San Juan, PR 00910

Phone

(787) 725-6713

Fax

(787) 998-6733

NPI assigned

Sep 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors' Center Hospital San Juan Hospital, Santurce, PR, CCN 400006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Primary Care Medical Services, LLC

  • Primary Care Clinic/Center
  • San Juan, PR
  • NPI 1124774716
  Medicare reassignment NPD
• Doctors Center Hospital San Juan

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1699748236
  NPD (past)

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

• Doctors Center Hospital San Juan

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Juan, PR
  • NPI 1205539558

  Hospital

  Care Compare affiliation
• Doctors Center Hospital San Juan

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1699748236
  Care Compare affiliation

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1629685953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 CALLE SAN RAFAEL",
            "address_2": "MEDICAL PAVILION, SUITE 5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-725-6713",
            "fax_number": "787-998-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 CALLE SAN RAFAEL",
            "address_2": "MEDICAL PAVILION, SUITE 5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-725-6713",
            "fax_number": "787-998-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-30",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038331200",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Rodriguez, MD
• Brenda E Rodriguez, OPTICIAN
• Carlos Rodriguez
• Carlos Rafael Rodriguez, MA
• Cesar O Rodriguez, MSW
• Christian Jose Rodriguez
• Claudia Sofia Rodriguez
• Cristina Beatriz Rodriguez
• Cristobal Rodriguez, M.D.
• Cynthia Annette Rodriguez, RPH

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.

Verify at the official NPI Registry.