Individual provider Active NPI

Eddie Manuel Rodriguez-Castro, MD

  • Nephrology Physician
  • Bayamon, PR
National Provider Identifier
1760740849
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19102 Issued in PR
Practice address
Bayamon Medical Plaza PR#2 KM11.7
Suite 403
Bayamon, PR 00959
Phone
(787) 602-1243
NPI assigned
Apr 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19102 PR
Nephrology Physician 207RN0300X 19102 PR Primary

Addresses

Primary practice location

Bayamon Medical Plaza PR#2 KM11.7
Suite 403
Bayamon, PR 00959

Mailing address

Palmares de Monteverde
94 Ramal 842 Apt 32
San Juan, PR 00926-3903
Phone (787) 636-3625

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
I20171118000057 PR Practitioner - NephrologyPractitioner - Internal Medicine 7618233099 Practice locations: Toa Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 167 Ave Comerio Norte H
600 A la Orden Shopping Center Levittown
Toa Baja, PR 00949
Phone (787) 292-7979

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19102PRMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: eddie.rodriguezcastro@3405.securemail.prognocis.com

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1760740849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PALMARES DE MONTEVERDE",
            "address_2": "94 RAMAL 842 APT 32",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263903",
            "telephone_number": "787-636-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA PR#2 KM11.7",
            "address_2": "SUITE 403",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-602-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-CASTRO",
        "first_name": "EDDIE",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19102",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "19102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.