Carlos Manuel Rodriguez Roth, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1121 Issued in PR

Practice address

Urb. Valle Alto Calle Loma #2386
Ponce, PR 00730-4145

Phone

(787) 599-8148

NPI assigned

Dec 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1750040549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VALLE ALTO CALLE LOMA #2386",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304145",
            "telephone_number": "787-599-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VALLE ALTO CALLE LOMA #2386",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304145",
            "telephone_number": "787-599-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ ROTH",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga D Rodriguez Rodriguez, M.D.
• Andrea S Rodriguez Rolon, DMD
• Isairy Rodriguez Roman, PSYD.
• Michaell O Rodriguez Rosa
• Daniel Eduardo Rodriguez Rossello, MD
• Marileana Rodriguez Ruiz
• Eduardo Rodriguez Santiago, 1562B
• Paola Andrea Rodriguez Santiago
• Carlos Roberto Rodriguez Serrano
• Jetsen Amaury Rodriguez Silva, MD

• Medical Physician Assistant in Ponce, PR
• Providers in Ponce, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.