Individual provider Active NPI

Wilnarys Rodriguez, MD

  • Pediatrics Physician
  • Naguabo, PR
National Provider Identifier
1790053510
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19103 Issued in PR
Practice address
21 Calle Garzot
Naguabo, PR 00718-2251
Phone
(787) 861-7777
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 29318R PR
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 19103 PR Primary

Addresses

Primary practice location

21 Calle Garzot
Naguabo, PR 00718-2251

Mailing address

PO Box 8829
Humacao, PR 00792-8829
Phone (787) 861-7777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address naguabo@fmapr.com

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19103PRMDPediatrics Physician
29318RPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Facilidades Medicas Asociadas Corp. Single Specialty PastSince Feb 6, 2022 Accepting new patients

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1790053510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8829",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928829",
            "telephone_number": "787-861-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CALLE GARZOT",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007182251",
            "telephone_number": "787-861-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "WILNARYS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "29318R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "19103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "naguabo@fmapr.com",
            "affiliation": "N",
            "address_1": "21 Calle Garzot",
            "city": "Naguabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007182251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naguabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.