Kermys Rodriguez Roche, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15419 Issued in PR

Practice address

Centro San Cristobal
Ste 207
Santa Isabel, PR 00757

Phone

(787) 934-6833

NPI assigned

Oct 12, 2006

Last updated

Mar 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novapsych PSCGroup PAC ID 6709127400, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Novapsych PSC

  • Psychiatry Physician
  • Santa Isabel, PR
  • NPI 1457804171
  Medicare reassignment Care Compare group NPD
• Novapsych PSC

  • General Practice Physician
  • Santa Isabel, PR
  • NPI 1003388448
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1780773564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 VIA MEDIALUNA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273017",
            "telephone_number": "787-436-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO SAN CRISTOBAL",
            "address_2": "STE 207",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-934-6833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Community Cornerstone of Puerto Rico",
            "address_2": "Urbanizacion Santa Maria Shopping Center Oficina #234",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00795",
            "country_code": "US",
            "telephone_number": "787-651-0030",
            "fax_number": "787-651-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ ROCHE",
        "first_name": "KERMYS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zolmari Rivera, RN
• Zulma I Rivera
• Isabel Cristina Rodriguez Barrera
• Marisel Rodriguez de Jesus
• Luis Adolfo Rodriguez Ortiz, TAC-III, TFC-III
• Anaida M Rodriguez
• Evelyn Rodriguez, PSY.D
• Sheila M Rodriguez
• Maria Rosario Rolon, MSW
• Moraima Roman Teissonniere

• General Practice Physician in Santa Isabel, PR
• Providers in Santa Isabel, 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 Mar 24, 2023; 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.
• 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.

Verify at the official NPI Registry.