Individual provider Active NPI

Luz Zorybell Rodriguez, M.D.

  • General Practice Physician
  • Naranjito, PR
National Provider Identifier
1740286806
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14981 Issued in PR
Practice address
44 Calle Ignacio Morales
Ste 1B
Naranjito, PR 00719-3020
Phone
(787) 869-5061
Fax
(787) 695-3037
NPI assigned
Jun 23, 2005
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 14981 PR Primary

Addresses

Primary practice location

44 Calle Ignacio Morales
Ste 1B
Naranjito, PR 00719-3020

Mailing address

PO Box 386
Naranjito, PR 00719-0386
Phone (787) 869-5061

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
I20031110000618 PR Practitioner - General Practice 1759294366 Practice locations: Naranjito, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

44 Calle Ignacio Morales
Suite 1B
Naranjito, PR 00719-3020
Phone (787) 869-5061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14981PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1740286806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190386",
            "telephone_number": "787-869-5061",
            "fax_number": "787-695-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CALLE IGNACIO MORALES",
            "address_2": "STE 1B",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193020",
            "telephone_number": "787-869-5061",
            "fax_number": "787-695-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUZ",
        "middle_name": "ZORYBELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.