Kenneth Josue Rodriguez Rivera, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

24760 Issued in PR

Practice address

155 Ave Arterial Hostos
San Juan, PR 00918-2987

Phone

(787) 431-0788

NPI assigned

Dec 8, 2025

Sex

Male

Sole proprietor

No

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

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

Specialty

General Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1750244596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 57 BOX 11027",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006028802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 AVE ARTERIAL HOSTOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182987",
            "telephone_number": "787-431-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RIVERA",
        "first_name": "KENNETH",
        "middle_name": "JOSUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheyla Esperanza Rodriguez Riera
• Adalberto Rodriguez Rivera, OD
• Angel Miguel Rodriguez Rivera, M.D,
• Ayuburi Rodriguez Rivera, PHARMD
• Emmanuel Jose Rodriguez Rivera
• Luis Alberto Rodriguez Rivera, M.D.
• Natalie Rodriguez Rivera
• Natividad Rodriguez Rivera, MD
• Raymond Rodriguez Rivera, DMD
• Alvaro Rodriguez Roa, MD

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.