NPIMap

Organization Active NPI

Dr.Jesus W Rodriguez,PSC

  • Clinic/Center
  • Ponce, PR
National Provider Identifier
1649214776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DR.JESUS W RODRIGUEZ,PSC
Practice address
Carretera 132 KM 22.1Bo Canas
Plaza Gabriela
Ponce, PR 00728
Phone
(787) 812-3939
Fax
(787) 812-3931
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jesus W Rodriguez, M.D.
Title
Presidente
Phone
(787) 812-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

Carretera 132 KM 22.1Bo Canas
Plaza Gabriela
Ponce, PR 00728

Mailing address

PO Box 664
Mercedita, PR 00715-0664
Phone (787) 812-3939

Other identifiers 1

IdentifierTypeStateIssuer
85070DROtherPRTRIPLE S

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649214776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150664",
            "telephone_number": "787-812-3939",
            "fax_number": "787-812-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 132 KM 22.1BO CANAS",
            "address_2": "PLAZA GABRIELA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-812-3939",
            "fax_number": "787-812-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JESUS W RODRIGUEZ,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-812-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "85070DR",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.