Active NPI
NRT Family Medicine PSC
- Family Medicine Physician
- Ponce, PR
National Provider Identifier
1720492978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NRT FAMILY MEDICINE PSC
- Practice address
- Avenida Eduardo Ruberte
Coliseo Shopping Center Suite 103
Ponce, PR 00728-1712 - Phone
- (787) 840-9708
- Fax
- (787) 840-9708
- NPI assigned
- Jun 16, 2014
- Last updated
- Feb 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nitza Rodriguez, MD
- Title
- President
- Phone
- (787) 840-9708
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
Avenida Eduardo Ruberte
Coliseo Shopping Center Suite 103
Ponce, PR 00728-1712
Mailing address
Calle Manuel Chelo Roman #48
Adjuntas, PR 00601-2217
Phone (787) 840-9708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Ponce, PR
- NPI 1982679726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581552000000",
"number": "1720492978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE MANUEL CHELO ROMAN #48",
"city": "ADJUNTAS",
"state": "PR",
"postal_code": "006012217",
"telephone_number": "787-840-9708",
"fax_number": "787-840-9708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA EDUARDO RUBERTE",
"address_2": "COLISEO SHOPPING CENTER SUITE 103",
"city": "PONCE",
"state": "PR",
"postal_code": "007281712",
"telephone_number": "787-840-9708",
"fax_number": "787-840-9708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NRT FAMILY MEDICINE PSC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-16",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "NITZA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-840-9708",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.