Laura E Rodriguez Rivera, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19591 Issued in PR

Practice address

909 Ave Tito Castro
Suite 723 Torre Medica San Lucas
Ponce, PR 00716-4725

Phone

(787) 259-3355

Fax

(787) 844-3003

NPI assigned

Jul 9, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

General Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bolanos Surgical Services CSPGroup PAC ID 6204962335, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bolanos Surgical Services,C.S.P.

  • Surgical Critical Care Physician
  • Ponce, PR
  • NPI 1548599525
  Medicare reassignment Care Compare group NPD
• Southern Bariatric Services PSC

  • Surgical Critical Care Physician
  • Ponce, PR
  • NPI 1750154787
  NPD
• Saint Lukes Memorial Hospital Inc

  dba Hospital San Lucas

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1841295557
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Lukes Memorial Hospital Inc

  dba Hospital San Lucas

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1841295557
  Care Compare affiliation

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851656672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 TITO CASTRO AVE",
            "address_2": "SUITE 102 PMB 370",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160020",
            "telephone_number": "787-259-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO",
            "address_2": "SUITE 723 TORRE MEDICA SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164725",
            "telephone_number": "787-259-3355",
            "fax_number": "787-844-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RIVERA",
        "first_name": "LAURA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "19591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Gabriela Rodriguez Pacheco
• Kevin Alexis Rodriguez Perez
• Derek Mizael Rodriguez Pinero
• Ulises Rodriguez Ramos
• Adriana Del Pilar Rodriguez Rivas
• Nadya Noemi Rodriguez Rivera, MD
• Nixzaliz Rodriguez Rivera, M. D.
• Yosira Marie Rodriguez Rivera, MD
• Aida Rodriguez Robles
• Alissa Marie Rodriguez Rodriguez

• Surgery Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.