Individual provider Active NPI

Jose Augusto Rodriguez-Escudero, M.D.

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1639169204
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13813 Issued in PR
Practice address
1492 Ponce de Leon, Edificio Centro Europa
Suite #717
San Juan, PR 00907
Phone
(787) 723-5017
Fax
(787) 723-5015
NPI assigned
Oct 25, 2005
Last updated
Nov 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13813 PR Primary
Interventional Cardiology Physician 207RI0011X 13813 PR

Addresses

Primary practice location

1492 Ponce de Leon, Edificio Centro Europa
Suite #717
San Juan, PR 00907

Mailing address

1418 Calle Wilson
Apt. #702
San Juan, PR 00907-2280
Phone (787) 724-3216

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
I20050927001085 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012942261 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Puerto Rico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1492 Ave Ponce de Leon
San Juan, PR 00907-4012
Phone (787) 723-5017

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as individual
Quality
53.12
Promoting interoperability
85
Improvement activities
40
Cost
96.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13813PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiocare & Vascular Group, LLC Cardiovascular Disease Current Accepting new patients
Cardiomed LLC Cardiovascular Disease PastSince Jun 15, 2015 Accepting new patients
Cardiovascular Healthcare LLC Cardiovascular Disease PastSince Jun 7, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jose.rodriguezescudero@3390.securemail.prognocis.com

Organizations & group practices 3

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1639169204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 CALLE WILSON",
            "address_2": "APT. #702",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072280",
            "telephone_number": "787-724-3216",
            "fax_number": "787-723-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 PONCE DE LEON, EDIFICIO CENTRO EUROPA",
            "address_2": "SUITE #717",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-723-5017",
            "fax_number": "787-723-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-ESCUDERO",
        "first_name": "JOSE",
        "middle_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "13813",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "13813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.