Individual provider Active NPI

Rodolfo Troche, MD

  • Nephrology Physician
  • San Juan, PR
National Provider Identifier
1639195597
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
14688 Issued in PR
Practice address
# 753 Ponce de Leon Ave Torre Medica Auxilio Mutuo
Suite 615
San Juan, PR 00917
Phone
(787) 765-3300
Fax
(787) 765-3304
NPI assigned
Jul 14, 2006
Last updated
Dec 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 14688 PR Primary

Addresses

Primary practice location

# 753 Ponce de Leon Ave Torre Medica Auxilio Mutuo
Suite 615
San Juan, PR 00917

Mailing address

# 753 Ponce de Leon Ave Torre Medica Auxilio Mutuo
Suite 615
San Juan, PR 00917
Phone (787) 765-3300

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
I20061117000062 PR Practitioner - NephrologyPractitioner - Internal Medicine 1456359975 Reassigns benefits to 3 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asociacion de Maestros de P RGroup PAC ID 4082781679, 9 clinicians
San Juan Nephrology PSCGroup PAC ID 8820266463, 4 clinicians
Neomed Center, IncGroup PAC ID 1850284100, shared by 8 NPIs, 66 clinicians

Practice addresses (Care Compare)

550 Calle Sergio Cuevas Bustamante
San Juan, PR 00918-2683
Phone (787) 763-5560

735 Ave Ponce de Leon
San Juan, PR 00917-5022
Phone (787) 765-3300

735 Torre Medica Auxilio Mutuo
Suite 615 Ave Ponce de Leon
San Juan, PR 00917-5029

PO Box
Suite 1277
Gurabo, PR 00778-1277

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14688PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
R. Troche Nephrology Nephrology Current Accepting new patients
San Juan Nephrology P.S.C. Nephrology CurrentSince Jan 23, 2011 Accepting new patients
Rtroche Nephrology PSC Nephrology CurrentSince Dec 12, 2014 Accepting new patients
Nova Nephrology PSC Nephrology Past Accepting new patients

Locations

100 Grand Paseo Blvd
San Juan, PR 00926
Phone (787) 283-2555

735 Ave Ponce de Leon
Ste 615
San Juan, PR 00917
Phone (787) 507-3607

Organizations & group practices 5

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 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1639195597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# 753 PONCE DE LEON AVE TORRE MEDICA AUXILIO MUTUO",
            "address_2": "SUITE 615",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-765-3300",
            "fax_number": "787-765-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 753 PONCE DE LEON AVE TORRE MEDICA AUXILIO MUTUO",
            "address_2": "SUITE 615",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-765-3300",
            "fax_number": "787-765-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCHE",
        "first_name": "RODOLFO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "14688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.