Active NPI
Glorimar Rodriguez Gutierrez, MD
- Internal Medicine Physician
- Trujillo Alto, PR
National Provider Identifier
1740847664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21367
- Practice address
- F4 Calle B-West Ciudad Universitaria
Trujillo Alto, PR 00976 - Phone
- (787) 552-8653
- NPI assigned
- May 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21367 | PR | Primary |
Addresses
Primary practice location
F4 Calle B-West Ciudad Universitaria
Trujillo Alto, PR 00976
Mailing address
F4 Calle B W
Trujillo Alto, PR 00976-3116
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ivonne.jimenez1@upr.edu |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Guaynabo, PR 00969
Phone (787) 552-8653
F4 Calle B W
Trujillo Alto, PR 00976-3116
PO Box
Suite 29134
San Juan, PR 00929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21367 | PR | MD | Internal Medicine Physician |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1285738583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1740847664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "F4 CALLE B W",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009763116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "F4 CALLE B-WEST CIUDAD UNIVERSITARIA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-552-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ GUTIERREZ",
"first_name": "GLORIMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-27",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "21367",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ivonne.jimenez1@upr.edu",
"affiliation": "N",
"address_1": "University of Puerto Rico Medical Sciences Campus",
"city": "San Juan",
"state": "PR",
"country_code": "US",
"postal_code": "00936",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.