Individual provider Active NPI

Adalberto Rodriguez, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1639802879
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23383 Issued in PR
Practice address
201 Ave Gautier Benitez
Consolidated Medical Plaza Suite 101
Caguas, PR 00725
Phone
(787) 744-5278
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23383 PR Primary

Addresses

Primary practice location

201 Ave Gautier Benitez
Consolidated Medical Plaza Suite 101
Caguas, PR 00725

Mailing address

PO Box 6960
Caguas, PR 00726-6960
Phone (787) 744-5278

Other practice location 1

120 Calle Jose C Vazquez
Aibonito, PR 00705-3309
Phone (787) 744-5278

Other practice location 2

18 Ave Font Martelo
Humacao, PR 00791-3342
Phone (787) 744-5278

Other practice location 3

706 Marginal
La Fuente Town Center Suite 11104
Guayama, PR 00784
Phone (787) 744-5278

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
I20230907002048 PR Practitioner - General Practice 5597129676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuscan CSPGroup PAC ID 4486753472, 3 clinicians

Practice addresses (Care Compare)

201 Calle Gautier Benitez
Caguas, PR 00725-5527
Phone (787) 744-5278

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nuscan CSP CurrentSince Sep 1, 2023 Accepting new patients
Nuscan Humacao CurrentSince Sep 1, 2023 Accepting new patients
Nuscan Past Accepting new patients
Nuscan Aibonito Past Accepting new patients

Locations

18 Calle Font Martelo
Humacao, PR 00791
Phone (787) 741-6278

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1639802879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6960",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266960",
            "telephone_number": "787-744-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AVE GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MEDICAL PLAZA SUITE 101",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-5278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Calle Jose C Vazquez",
            "address_purpose": "LOCATION",
            "city": "Aibonito",
            "state": "PR",
            "postal_code": "007053309",
            "country_code": "US",
            "telephone_number": "787-744-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Ave Font Martelo",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "007913342",
            "country_code": "US",
            "telephone_number": "787-744-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "706 Marginal",
            "address_2": "La Fuente Town Center Suite 11104",
            "address_purpose": "LOCATION",
            "city": "Guayama",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-744-5278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ADALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.