Active NPI
Manuel Jose Rodriguez, M.D.
- Obstetrics & Gynecology Physician
- Mayaguez, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 18586
- Practice address
- 63 Mendez Vigo E
Suite 3a Condominio Centro Plaza
Mayaguez, PR 00680-4972 - Phone
- (787) 831-4320
- Fax
- (787) 831-4320
- NPI assigned
- Aug 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 18586 | PR | Primary |
Addresses
Primary practice location
63 Mendez Vigo E
Suite 3a Condominio Centro Plaza
Mayaguez, PR 00680-4972
Mailing address
PO Box 75
Boqueron, PR 00622-0075
Phone (787) 640-4518
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Ponce School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
55 De Diego E
CPR Professional Building 404
Mayaguez, PR 00680
Phone (787) 831-4320
55 De Diego E CPR Professional Buildi
Suite 404
Mayaguez, PR 00680
55 De Diego E CPR Professional Building
Suite 404
Mayaguez, PR 00680
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roma OBGYN Services, P.S.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Metro Mayaguez Inc | Past | Accepting new patients |
Locations
63 Calle Mendez Vigo E
Ste 3A
Mayaguez, PR 00680
Phone (787) 831-4320
55 Calle de Diego E
Ste 404
Mayaguez, PR 00680
Phone (787) 831-4320
Interoperability endpoints
- mriglesias@1900.securemail.prognocis.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Mayaguez, PR
- NPI 1528469921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1720393135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75",
"city": "BOQUERON",
"state": "PR",
"postal_code": "006220075",
"telephone_number": "787-640-4518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 MENDEZ VIGO E",
"address_2": "SUITE 3A CONDOMINIO CENTRO PLAZA",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804972",
"telephone_number": "787-831-4320",
"fax_number": "787-831-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MANUEL",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-10",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "18586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.