Individual provider Active NPI

Harold Pola Rodriguez, M.D.

  • Pulmonary Disease Physician
  • Cayey, PR
National Provider Identifier
1659377406
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
8735 Issued in PR
Practice address
Sector Rincon Lomas Carr. 14 KM. 72.2
Edificio Profesional Domingo Torres Zayas Suite 201
Cayey, PR 00737-0000
Phone
(787) 535-1124
Fax
(787) 535-1123
NPI assigned
Jun 27, 2005
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 8735 PR Primary

Addresses

Primary practice location

Sector Rincon Lomas Carr. 14 KM. 72.2
Edificio Profesional Domingo Torres Zayas Suite 201
Cayey, PR 00737-0000

Mailing address

F-8 Calle Genova
Ext. Villa Caparra
Guaynabo, PR 00966-1727
Phone (787) 535-1124

Other identifiers 7

IdentifierTypeStateIssuer
8-1449OtherPRMEDICARE PIN
M-00165OtherPRPLAN DE SALUD MENONITA
620049OtherPRHUMANA PROVIDER
5604OtherPRPMC PROVIDER
3-8735OtherPRCIGNA PROVIDER
8-1449POOtherPRTRIPLE S PROVIDER
600763OtherPRMMM PROVIDER

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
I20101208000561 PR Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0345437919 Practice locations: Cayey, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8735PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1659377406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F-8 CALLE GENOVA",
            "address_2": "EXT. VILLA CAPARRA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661727",
            "telephone_number": "787-535-1124",
            "fax_number": "787-738-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SECTOR RINCON LOMAS CARR. 14 KM. 72.2",
            "address_2": "EDIFICIO PROFESIONAL DOMINGO TORRES ZAYAS SUITE 201",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007370000",
            "telephone_number": "787-535-1124",
            "fax_number": "787-535-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLA RODRIGUEZ",
        "first_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "8735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "8-1449",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN DE SALUD MENONITA",
            "identifier": "M-00165",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER",
            "identifier": "620049",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC PROVIDER",
            "identifier": "5604",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER",
            "identifier": "3-8735",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PROVIDER",
            "identifier": "8-1449PO",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM PROVIDER",
            "identifier": "600763",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.