Jose L. Portalatin Rodriguez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14953 Issued in PR

Practice address

Carr 129 KM 0.1
Arecibo, PR 00612-2854

Phone

(787) 447-4411

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Varmed Health Center LLC

  • Emergency Care Clinic/Center
  • Bayamon, PR
  • NPI 1356017586
  Medicare reassignment NPD
• Ha Atlantic Medical Service Inc

  • General Practice Physician
  • Arecibo, PR
  • NPI 1497230213
  NPD (past) Authorized official
• Varmed Health Center LLC

  • Rehabilitation Hospital
  • Bayamon, PR
  • NPI 1225752223
  NPD
• Varmed Health Center LLC

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1417670472
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1780616656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590483",
            "telephone_number": "787-447-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129 KM 0.1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006122854",
            "telephone_number": "787-447-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTALATIN RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14953",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel R Polanco Martinez, MD
• Addy Polanco
• Jorge L Polanco Sr.
• Policlinica de Familia Factor Inc
• Policlinica de Familia Factor Inc
• Meredith Portalatin, MD
• Rafael A Portela Gonzalez, D.M.D.
• PR Diabetics Inc.
• PR Endodontics LLC
• Preferred Medical Equipment Inc

• General Practice Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.