Active NPI
Ediberto III Rodriguez de Jesus, AUD
- Audiologist
- Toa Alta, PR
National Provider Identifier
1780367524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1033
- Practice address
- Haciendad del Caribe
Calle Yuquiyu I-9
Toa Alta, PR 00953 - Phone
- (787) 293-7485
- NPI assigned
- Aug 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1033 | PR | Primary |
Addresses
Primary practice location
Haciendad del Caribe
Calle Yuquiyu I-9
Toa Alta, PR 00953
Mailing address
RR 7 Box 17141
Toa Alta, PR 00953-8844
Phone (787) 293-7485
Other practice location 1
Carr 651 KM 5.2 BO Dominguito
Arecibo, PR 00612
Phone (787) 293-7485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Urb Rio Piedras Heights
1726 Ave Lomas Verdes
San Juan, PR 00926
Phone (787) 766-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1033 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Voice & Sinus Institute PSC | Current | Accepting new patients | |
| Hearing Center LLC | Audiologist | Current | Accepting new patients |
| Centro Audiologico E Interdisciplinario, Isamar Gonzalez, Inc. | Audiologist | Past | Accepting new patients |
Locations
735 Ave Ponce de Leon
Ste 214
San Juan, PR 00917
Phone (787) 766-1900
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.
-
- Otolaryngology Physician
- San Juan, PR
- NPI 1114132586
-
- Occupational Therapist
- Arecibo, PR
- NPI 1801946900
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1780367524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 7 BOX 17141",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009538844",
"telephone_number": "787-293-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HACIENDAD DEL CARIBE",
"address_2": "CALLE YUQUIYU I-9",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-293-7485"
}
],
"practiceLocations": [
{
"address_1": "Carr 651 KM 5.2 BO Dominguito",
"address_purpose": "LOCATION",
"city": "Arecibo",
"state": "PR",
"postal_code": "00612",
"country_code": "US",
"telephone_number": "787-293-7485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ DE JESUS",
"first_name": "EDIBERTO III",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-09",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PR",
"license": "1033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.