Active NPI
Fermin Heriberto Rodriguez, DMD
- General Practice Dentistry
- Yabucoa, PR
National Provider Identifier
1790768075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1505
- Practice address
- 108 Luis Munoz Rivera St
Yabucoa, PR 00767-1160 - Phone
- (787) 893-0410
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1505 | PR | Primary |
Addresses
Primary practice location
108 Luis Munoz Rivera St
Yabucoa, PR 00767-1160
Mailing address
PO Box 1160
Yabucoa, PR 00767-1160
Phone (787) 893-0410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042095 | Other | PR | LA CRUZ AZUL DE PR |
| 7670050 | Other | PR | HUMANA INSURANCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1505 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790768075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1160",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007671160",
"telephone_number": "787-893-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 LUIS MUNOZ RIVERA ST",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007671160",
"telephone_number": "787-893-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "FERMIN",
"middle_name": "HERIBERTO",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL DE PR",
"identifier": "042095",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "7670050",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yabucoa, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.