Individual provider Active NPI

Omar E Rodriguez Alejandro, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Juan, PR
National Provider Identifier
1750817573
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
35.148364 Issued in OH
Practice address
Upr Medical Sciences Campus,
Department of Surgery-Orthopaedics
San Juan, PR 00936-5067
Phone
(787) 764-5095
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 33974 PR
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 35.148364 OH Primary

Addresses

Primary practice location

Upr Medical Sciences Campus,
Department of Surgery-Orthopaedics
San Juan, PR 00936-5067

Mailing address

PO Box 365067 Department of Surgery-Orthopaedics
Upr Medical Sciences Campus,
San Juan, PR 00936-5067
Phone (787) 764-5095

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
I20240618003956 PR Practitioner - Orthopedic Surgery 2163802976 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RJR and Co. PSCGroup PAC ID 8628421617, 2 clinicians

Practice addresses (Care Compare)

576 Calle Cesar Gonzalez
Suite 506
San Juan, PR 00918-3758
Phone (787) 772-1007

Hospital & facility affiliations

  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD477101PAMDPulmonary Disease Physician
33974PRMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Vita LLC CurrentSince May 1, 2026 Accepting new patients
Puerto Rico Orthopedic Sports Medicine LLC Sports Medicine Current Accepting new patients
RJR & Co., PSC CurrentSince Jul 1, 2024 Accepting new patients

Locations

576 Calle Cesar Gonzalez
Ste 506
San Juan, PR 00918
Phone (787) 646-4110

Interoperability endpoints

  • Direct secure messaging: omar.rodriguezalejandro@2148.securemail.prognocis.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1750817573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067 DEPARTMENT OF SURGERY-ORTHOPAEDICS",
            "address_2": "UPR MEDICAL SCIENCES CAMPUS,",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-764-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPR MEDICAL SCIENCES CAMPUS,",
            "address_2": "DEPARTMENT OF SURGERY-ORTHOPAEDICS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-764-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ ALEJANDRO",
        "first_name": "OMAR",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "33974",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35.148364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.