Individual provider Active NPI

Victor Guillermo Rodriguez Rossello, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1851923429
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21659 Issued in PR
Practice address
Carr 21 Num 1785, Ave Las Lomas #21
Hospital Metropolitano
San Juan, PR 00922-0000
Phone
(787) 782-9999
NPI assigned
Feb 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21659 PR Primary

Addresses

Primary practice location

Carr 21 Num 1785, Ave Las Lomas #21
Hospital Metropolitano
San Juan, PR 00922-0000

Mailing address

CLL Via San Paolo G6
Monte Alveria
Guaynabo, PR 00969-7427
Phone (787) 449-1424

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
I20211116003121 PR Practitioner - General Practice 3072902840 Practice locations: San Juan, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1851923429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CLL VIA SAN PAOLO G6",
            "address_2": "MONTE ALVERIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009697427",
            "telephone_number": "787-449-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 21 NUM 1785, AVE LAS LOMAS #21",
            "address_2": "HOSPITAL METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220000",
            "telephone_number": "787-782-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ ROSSELLO",
        "first_name": "VICTOR",
        "middle_name": "GUILLERMO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-05-12",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.