Organization Active NPI

NRT Family Medicine PSC

  • Family Medicine Physician
  • Ponce, PR
National Provider Identifier
1720492978
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Nitza Rodriguez, MDNPI 1982679726
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20140818000683 PR Part B Supplier - Clinic/Group Practice 9032336912 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.