Edaris Rodriguez Izquierdo

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1046 Ave Hostos Ste 118
Ponce, PR 00716-1119

Phone

(787) 841-3260

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1669122792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 8 BOX 38251",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259402",
            "telephone_number": "787-233-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 AVE HOSTOS STE 118",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161119",
            "telephone_number": "787-841-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ IZQUIERDO",
        "first_name": "EDARIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaskia Rodriguez Gonzalez
• Lourdes Rodriguez Hernandez
• Luis E Rodriguez Hernandez, M.D.
• Miosolys Ivette Rodriguez Hernandez, MSPS
• Nivia Isabel Rodriguez Hernandez, PSYD
• Sergio Oscar Rodriguez Lopez
• Adian Naisoj Rodriguez Lorenzo
• Jorge I. Rodriguez Lugo, MD
• Adelina Rodriguez Martinez, OTR
• Ricardo Jose Rodriguez Medina

• Student in an Organized Health Care Education/Training Program in Ponce, PR
• Providers in Ponce, PR by specialty
• Student in an Organized Health Care Education/Training Program in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.