Jacqueline Rodriguez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2411 Issued in PR

Practice address

Street 156 KM 48.8 Bo Sumidero
Aguas Buenas, PR 00703-9819

Phone

(787) 732-0509

Fax

(787) 924-7324

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Oficina Dental Dr Jacqueline Rodriguez PSC

  • Dentist
  • Aguas Buenas, PR
  • NPI 1356508873
  Authorized official Same address or phone

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1750477691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5715",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007265715",
            "telephone_number": "787-732-0509",
            "fax_number": "787-924-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 156 KM 48.8 BO SUMIDERO",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007039819",
            "telephone_number": "787-732-0509",
            "fax_number": "787-924-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2411",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aixa Torres Rivera, D.O
• Camille Rivera, CNM
• Maria M Rivera, LIC
• Nery D. Rivera, MD
• Yeritza Michelle Rodriguez Valle, DMD
• Olga Noemi Rodriguez, LIC
• RT Medical Services LLC
• Judith Santana, RN
• Enna D Santiago, P.T.
• Emily Janet Santos I, B.A.

• Dentist in Aguas Buenas, PR
• Providers in Aguas Buenas, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.