Individual provider Active NPI

Pablo E. Rodriguez-Ryan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1740288497
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4995 Issued in PR
Practice address
287 Calle Jilguero
Urb. Montehiedra
San Juan, PR 00926-7109
Phone
(787) 433-9146
Fax
(787) 789-7457
NPI assigned
Jul 7, 2005
Last updated
Oct 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4995 PR Primary

Addresses

Primary practice location

287 Calle Jilguero
Urb. Montehiedra
San Juan, PR 00926-7109

Mailing address

PO Box 193215
San Juan, PR 00919-3215
Phone (787) 433-9146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Terapia Fisica Y Rehabilitacion Genesis LLC PastSince Dec 1, 2024 Accepting new patients
Luz C Butler Moya Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1740288497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193215",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193215",
            "telephone_number": "787-433-9146",
            "fax_number": "787-789-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 CALLE JILGUERO",
            "address_2": "URB. MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267109",
            "telephone_number": "787-433-9146",
            "fax_number": "787-789-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-RYAN",
        "first_name": "PABLO",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "4995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.