Individual provider Active NPI

Glorimar Rodriguez Gutierrez, MD

  • Internal Medicine Physician
  • Trujillo Alto, PR
National Provider Identifier
1740847664
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21367 Issued in PR
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

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122001244 PR Practitioner - Internal Medicine 8729565601 Reassigns benefits to 1 organization
Practice locations: Guaynabo, PR

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

LicenseStateTypeSpecialty
21367PRMDInternal 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.

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

Verify at the official NPI Registry.