Yauco Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

YAUCO MEDICAL CENTER LLC

Practice address

7 Calle Pacheco
Yauco, PR 00698-3507

Phone

(787) 856-1311

Fax

(787) 267-3700

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge A. Rodriguez Davila, MD

Title

Owner

Phone

(787) 856-1311

Specialties & licenses 1

Addresses

Other names 1

• Yauco Medical Center LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Jorge Alejandro Rodriguez, M.D.

  • Internal Medicine Physician
  • Yauco, PR
  • NPI 1023239001
  Medicare reassignment NPD

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1720800030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CALLE PACHECO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983507",
            "telephone_number": "787-856-1311",
            "fax_number": "787-267-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE PACHECO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983507",
            "telephone_number": "787-856-1311",
            "fax_number": "787-267-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAUCO MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ DAVILA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-856-1311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yauco Medical Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yauco Health Clinic Inc
• Yauco Healthcare Corp (Hospital Metropolitano Dr. Tito Matei)
• Yauco Healthcare Corporation (Hospital Pavia Yauco)
• Yauco Healthcare Corporation (Hospital Pavia Yauco)
• Yauco Healthcare Corporation (Hospital Pavia Yauco)
• Yauco Optical Inc
• Yauco Optometry Care LLC
• Yamil Ali Zaidi, M.D
• Denise Zeligman

• Internal Medicine Physician in Yauco, PR
• Providers in Yauco, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.