Luis Giovani Custodio-Rodriguez, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19523 Issued in PR

Practice address

3106 Calle Bermuda
Urb Islazul
Isabela, PR 00662-6354

Phone

(787) 455-1631

NPI assigned

Jan 30, 2017

Last updated

Oct 1, 2025By the provider in NPPES

Sex

Male

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

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

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital San Carlos Borromeo Hospital, Moca, PR, CCN 400111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• MCV Health Group LLC

  • Internal Medicine Physician
  • Mayaguez, PR
  • NPI 1437029287

  Single Specialty

  Medicare reassignment NPD Authorized official
• Hospital Comunitario Buen Samaritano Inc

  dba Hospital Buen Samaritano INC

  • General Acute Care Hospital
  • Aguadilla, PR
  • NPI 1922034776
  Medicare reassignment
• Hospital San Carlos Incorporado

  dba Hospital San Carlos Borromeo

  • Rural Acute Care Hospital
  • Moca, PR
  • NPI 1104856889
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital San Carlos Incorporado

  dba Hospital San Carlos Borromeo

  • Rural Acute Care Hospital
  • Moca, PR
  • NPI 1104856889
  Care Compare affiliation

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1669919528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 CALLE BERMUDA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006626354",
            "telephone_number": "787-455-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 CALLE BERMUDA",
            "address_2": "URB ISLAZUL",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006626354",
            "telephone_number": "787-455-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTODIO-RODRIGUEZ",
        "first_name": "LUIS",
        "middle_name": "GIOVANI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-30",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayra Liz Cruz Vazquez
• Pedro J. Cruz-Quiles, M.D.
• Linette Cruz-Romero
• Albert Andres Cruz
• Janitza Enid Cruz
• CVDP Health Management LLC
• Saallahheim Ra Davis, D.C.
• Laura Marie Del Valle Perez, OD
• Patricia Elena Delgado, PHARMD.
• Axel Deliz

• Internal Medicine Physician in Isabela, PR
• Providers in Isabela, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.