Individual provider Active NPI

Francisco Jose Rodriguez, MD

  • Internal Medicine Physician
  • Moca, PR
National Provider Identifier
1710161104
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16963 Issued in PR
Practice address
88 Calle Don Chemary
Moca, PR 00676-4122
Phone
(787) 877-1084
Fax
(787) 877-1084
NPI assigned
Dec 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16963 PR
Internal Medicine Physician 207R00000X 16963 PR Primary

Addresses

Primary practice location

88 Calle Don Chemary
Moca, PR 00676-4122

Mailing address

Bo. Carrizales BZ. a-603
Aguada, PR 00602
Phone (787) 891-7080

Other practice location 1

19 Severiano Cuevas
Aguadilla, PR 00676
UM
Phone (787) 891-7080

Other identifiers 1

IdentifierTypeStateIssuer
002-7864OtherPRPTAN

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
I20080116000021 PR Practitioner - General Practice 8628159696 Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 Ave Severiano Cuevas
Aguadilla, PR 00603-5713
Phone (787) 891-7080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16963PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saladilla LLC Internal Medicine PastSince Dec 22, 2019 Accepting new patients
Family Health Group S.S.C.S.P General Practice Past Accepting new patients
Hospital Comunitario Buen Samaritano Inc Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1710161104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO. CARRIZALES BZ. A-603",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-891-7080",
            "fax_number": "787-891-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CALLE DON CHEMARY",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764122",
            "telephone_number": "787-877-1084",
            "fax_number": "787-877-1084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Severiano Cuevas",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00676",
            "country_code": "UM",
            "telephone_number": "787-891-7080",
            "fax_number": "787-891-7080",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "FRANCISCO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16963",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "002-7864",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.