Active NPI
Wilnarys Rodriguez, MD
- Pediatrics Physician
- Naguabo, PR
National Provider Identifier
1790053510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19103
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 29318R | PR | |
| Pediatrics Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19103 | PR | MD | Pediatrics Physician |
| 29318R | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Facilidades Medicas Asociadas Corp. | Single Specialty | Past | 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.