Individual provider Active NPI

Yefrin Omar Rodriguez, L.M.T.

  • Specialist
  • Mayaguez, PR
National Provider Identifier
1760858468
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0514 Issued in PR
Practice address
60 Calle Meditacion
Mayaguez, PR 00680-4819
Phone
(787) 635-8772
NPI assigned
Aug 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0514 PR Primary

Addresses

Primary practice location

60 Calle Meditacion
Mayaguez, PR 00680-4819

Mailing address

PO Box 3327
Mayaguez, PR 00681-3327
Phone (787) 635-8772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0514PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Center Red, LLC Specialist CurrentSince Oct 11, 2020 Accepting new patients

Locations

60 Calle Meditacion
Mayaguez, PR 00680
Phone (787) 317-8475

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1760858468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3327",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813327",
            "telephone_number": "787-635-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CALLE MEDITACION",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804819",
            "telephone_number": "787-635-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YEFRIN",
        "middle_name": "OMAR",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "0514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.