Individual provider Active NPI

Reynaldo Rodriguez-Llauger, M.D.

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1851367122
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
14107 Issued in PR
Practice address
262 Calle Ing Ismael a Colon
San Juan, PR 00918-2802
Phone
(787) 754-7388
Fax
(787) 998-2023
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 14107 PR Primary
Psychiatry Physician 2084P0800X 14107 PR
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 14107 PR
Clinical Neurophysiology Physician 2084N0600X 14107 PR

Addresses

Primary practice location

262 Calle Ing Ismael a Colon
San Juan, PR 00918-2802

Mailing address

PO Box 193127
San Juan, PR 00919-3127
Phone (787) 754-7388

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
I20081022000611 PR Practitioner - NeurologyPractitioner - Psychiatry 5193883957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

262 Calle Ing Ismael Colon
Urb Roosevelt
San Juan, PR 00918-2802
Phone (787) 523-6711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14107PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc Past Accepting new patients

Organizations & group practices 2

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1851367122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193127",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193127",
            "telephone_number": "787-754-7388",
            "fax_number": "787-998-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CALLE ING ISMAEL A COLON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182802",
            "telephone_number": "787-754-7388",
            "fax_number": "787-998-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-LLAUGER",
        "first_name": "REYNALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "14107",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "14107",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "PR",
            "license": "14107",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PR",
            "license": "14107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.