Edgar Alexis De Jesus Rodriguez, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

22806 Issued in PR

Practice address

Centro Medico de Puerto Rico Barrio Monacillos
San Juan, PR 00935-7514

Phone

(787) 777-3535

NPI assigned

Apr 4, 2017

Last updated

Jun 8, 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

Ophthalmology

Education

University of Puerto Rico School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oftalmologos Asociados del Norte CRLGroup PAC ID 4789666843, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edejesus@centofmet.direct.eyemdemr.com

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.

• Caribbean Ophthalmology Associates LLC

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1699552349
  Medicare reassignment NPD Authorized official
• Oftalmologos Asociados del Norte CRL

  • Ophthalmology Physician
  • Manati, PR
  • NPI 1215002670
  Medicare reassignment Care Compare group NPD
• Centro Oftalmologico Metropolitano CSP

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1528022027
  Medicare reassignment NPD
• Caribbean Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Manati, PR
  • NPI 1407705775
  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1790218162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-777-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO DE PUERTO RICO BARRIO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009357514",
            "telephone_number": "787-777-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HC 4 Box 10517",
            "address_purpose": "LOCATION",
            "city": "Utuado",
            "state": "PR",
            "postal_code": "006417514",
            "country_code": "US",
            "telephone_number": "787-514-4748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE JESUS RODRIGUEZ",
        "first_name": "EDGAR",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "22806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola De Jesus Martinez
• Jose R De Jesus Melendez, MD
• Jorge R De Jesus Miranda, MD
• Nelson De Jesus Ramos, M.D.
• Carmen C De Jesus Rivera, MD
• Evony Coral De Jesus Santa
• Ileana De Jesus Santiago, PH.D.
• Maria Angelica De Jesus Sosa, PT, DPT
• Stephanie I. De Jesus Soto, RN
• Blanca N De Jesus Valiente, M.D.

• Ophthalmology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.