Individual provider Active NPI

Federico Rodriguez Perez, MD

  • Hepatology Physician
  • San Juan, PR
National Provider Identifier
1639143480
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
9101 Issued in PR
Practice address
1420 Calle Americo Salas
Suite 303
San Juan, PR 00909-2139
Phone
(787) 919-7865
Fax
(787) 919-7868
NPI assigned
Feb 16, 2006
Last updated
Mar 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 9101 PR
Hepatology Physician 207RI0008X 9101 PR Primary

Addresses

Primary practice location

1420 Calle Americo Salas
Suite 303
San Juan, PR 00909-2139

Mailing address

PO Box 19647
Fernandez Juncos Station
San Juan, PR 00910-1647
Phone (787) 919-7865

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
I20071107000013 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 6800983990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1420 Calle Americo Salas
Suite 303
San Juan, PR 00909-2139
Phone (787) 919-7865

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy166
Upper gastrointestinal (GI) endoscopy for acid reflux111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Hepatic Wellness, PSC CurrentSince May 4, 2009 Accepting new patients
Gastroenterology Services of the Caribbean LLC Gastroenterology PastSince Jan 12, 2025 Accepting new patients

Locations

1431 Ave Ponce de Leon
Ste 402
San Juan, PR 00907
Phone (787) 723-9595

1420 Calle Americo Salas
Ste 303
Santurce, PR 00909
Phone (787) 919-7865

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1639143480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19647",
            "address_2": "FERNANDEZ JUNCOS STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101647",
            "telephone_number": "787-919-7865",
            "fax_number": "787-919-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CALLE AMERICO SALAS",
            "address_2": "SUITE 303",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092139",
            "telephone_number": "787-919-7865",
            "fax_number": "787-919-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ PEREZ",
        "first_name": "FEDERICO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "9101",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "PR",
            "license": "9101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.