NPIMap

Individual provider Active NPI

Oscar Javier Rodriguez, M.D.

  • General Practice Physician
  • Barranquitas, PR
National Provider Identifier
1639116262
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14400 Issued in PR
Practice address
156 Calle Barcelo # 53
Barranquitas, PR 00794-1621
Phone
(787) 857-2688
Fax
(787) 857-1730
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 14400 PR Primary

Addresses

Primary practice location

156 Calle Barcelo # 53
Barranquitas, PR 00794-1621

Mailing address

1937 Las Americas Ave
Ponce, PR 00728-1815
Phone (787) 424-8554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050716000014 PR Practitioner - General Practice 5991731341 Reassigns benefits to 2 organizations
Practice locations: Salinas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Integral En la Montana IncGroup PAC ID 8527972827, 64 clinicians

Practice addresses (Care Compare)

Carr 156 Calle Barcelo
Suite 53
Barranquitas, PR 00794-1735
Phone (787) 857-2688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14400PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. CurrentSince Mar 29, 2022 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Mar 29, 2022 Accepting new patients
Salud Integral En la Montana, Inc General Practice Current Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince May 23, 2022 Accepting new patients
Municipio de Guanica General Practice Past Accepting new patients
Municipio de Guanica Past Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

53 Calle Barcelo
Barranquitas, PR 00794
Phone (787) 857-2688

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1639116262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 LAS AMERICAS AVE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281815",
            "telephone_number": "787-424-8554",
            "fax_number": "787-824-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CALLE BARCELO # 53",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941621",
            "telephone_number": "787-857-2688",
            "fax_number": "787-857-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "OSCAR",
        "middle_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-04-30",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barranquitas, PR

Sources for this page

Verify at the official NPI Registry.