Individual provider Active NPI

Federico Rodriguez, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1730202052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15798 Issued in PR
Practice address
J26 Calle 10
Caguas, PR 00727-6024
Phone
(787) 586-6116
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15798 PR Primary

Addresses

Primary practice location

J26 Calle 10
Caguas, PR 00727-6024

Mailing address

J26 Calle 10
Caguas, PR 00727-6024
Phone (787) 586-6116

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
I20120920000540 PR Practitioner - General Practice 4981852696 Reassigns benefits to 1 organization
Practice locations: Juncos, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15798PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion CurrentSince Jan 1, 2021 Accepting new patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion CurrentSince Jan 1, 2021 Accepting new patients

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730202052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J26 CALLE 10",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007276024",
            "telephone_number": "787-586-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J26 CALLE 10",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007276024",
            "telephone_number": "787-586-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "FEDERICO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.