Nicole Marie Rodriguez-Purcell

Primary specialty

DentistTaxonomy code 122300000X

License

3298 Issued in PR

Practice address

Clinica Dental Nueva Imagen
Carr #2 KM. 65.2
Arecibo, PR 00612

Phone

(787) 650-2333

NPI assigned

Mar 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1639674492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51339",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501339",
            "telephone_number": "305-713-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA DENTAL NUEVA IMAGEN",
            "address_2": "CARR #2 KM. 65.2",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-650-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Paseo Dr Jose Celso Barbosa",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00921",
            "country_code": "US",
            "telephone_number": "787-758-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-PURCELL",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla M Rodriguez Velez, M.D.
• Yazmin Rodriguez Vellon, M.D.
• Victor M Rodriguez-Balasquide, MD
• Luis A. Rodriguez-Escola, MD
• Luis M. Rodriguez-Mora, M.D.
• Carlos R Rodriguez, M.D.
• Cristina Maria Rodriguez, LND
• Dante Amadis Rodriguez
• David Rodriguez
• Edith Marie Rodriguez, PHARMD

• Dentist in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.