Active NPI
Edgar A Rodriguez Gonzalez, M.D
- Pulmonary Disease Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 9954
- Practice address
- 576 Calle Cesar Gonzalez
Suite 201
San Juan, PR 00918-3756 - Phone
- (787) 274-5405
- Fax
- (787) 274-5406
- NPI assigned
- Sep 13, 2006
- Last updated
- Jul 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 9954 | PR | Primary |
Addresses
Primary practice location
576 Calle Cesar Gonzalez
Suite 201
San Juan, PR 00918-3756
Mailing address
576 Calle Cesar Gonzalez
Suite 201
San Juan, PR 00918-3756
Phone (787) 274-5405
Other names 1
- Dr. Edgar A Rodriguez Gonzalez
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051219000180 | PR | Practitioner - Pulmonary Disease | 9133140197 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Puerto Rico School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
576 Ave Cesar Gonzalez
Suite 201
San Juan, PR 00918
Adler Medical Plaza 576 Ave Cesar
Suite 201
San Juan, PR 00918
Adler Medical Plaza 576 Cesar Gonzale
Suite 201
San Juan, PR 00918
Phone (782) 274-5405
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9954 | PR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto Neumologico de Puerto Rico | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- San Juan, PR
- NPI 1013907864
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1639274814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 CALLE CESAR GONZALEZ",
"address_2": "SUITE 201",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183756",
"telephone_number": "787-274-5405",
"fax_number": "787-274-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 CALLE CESAR GONZALEZ",
"address_2": "SUITE 201",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183756",
"telephone_number": "787-274-5405",
"fax_number": "787-274-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ GONZALEZ",
"first_name": "EDGAR",
"middle_name": "A",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PR",
"license": "9954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDGAR",
"last_name": "RODRIGUEZ GONZALEZ",
"middle_name": "A",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Juan, PR
- Isais E Rodriguez Flores
- Pedro Luis Rodriguez Flores, PHARMD
- Victor Emmanuel Rodriguez Franceschi, MD
- Gian Carlos Rodriguez Franco
- Marta Maria Rodriguez Garcia, M.D.
- Marilyn Rodriguez Gonzalez
- Omar Antonio Rodriguez Gonzalez
- Valeria Rodriguez Gonzalez
- Nicole Mariel Rodriguez Guilloty, MD, FACS
- Ricardo Mario Rodriguez Guzman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.