Individual provider Active NPI

Yairenid Reyes Rodriguez, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1821844259
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24528 Issued in PR
Practice address
HC 67 Box 13309
Bayamon, PR 00956-9505
Phone
(787) 503-8272
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PR
General Practice Physician 208D00000X 24528 PR Primary

Addresses

Primary practice location

HC 67 Box 13309
Bayamon, PR 00956-9505

Mailing address

HC 67 Box 13309
Bayamon, PR 00956-9505
Phone (787) 503-8272

Other practice location 1

715 Ave Ponde de Leon
San Juan, PR 00917
Phone (787) 758-2000 ext. 3216

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251113004043 PR Practitioner - General Practice 9830680271 Practice locations: Toa Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Calle Antonio R Barcelo
Toa Alta, PR 00953-2444
Phone (787) 869-5900

HC 67 Box
Suite 13309
Bayamon, PR 00956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24528PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1821844259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 67 BOX 13309",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569505",
            "telephone_number": "787-503-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 67 BOX 13309",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569505",
            "telephone_number": "787-503-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 AVE PONDE DE LEON",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "country_code": "US",
            "telephone_number": "787-758-2000 x3216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES RODRIGUEZ",
        "first_name": "YAIRENID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.