Individual provider Active NPI

Manuel Jose Rodriguez, M.D.

  • Obstetrics & Gynecology Physician
  • Mayaguez, PR
National Provider Identifier
1720393135
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18586 Issued in PR
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

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922000907 PR Practitioner - Obstetrics/Gynecology 2567681760 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Roma OBGYN Services, P.S.C. Obstetrics & Gynecology CurrentSince Jul 26, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.