Juan R Rodriguez de Leon, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4298 Issued in PR

Practice address

Edif Medico Hermanas Davila
Suite 202 Villa Rica
Bayamon, PR 00959-5041

Phone

(787) 786-1200

Fax

(787) 269-0077

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1861557134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8459",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608459",
            "telephone_number": "787-786-1200",
            "fax_number": "787-269-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF MEDICO HERMANAS DAVILA",
            "address_2": "SUITE 202 VILLA RICA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595041",
            "telephone_number": "787-786-1200",
            "fax_number": "787-269-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ DE LEON",
        "first_name": "JUAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "4298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "340056-5",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAN AMERICAN LIFE",
            "identifier": "PE-0712",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "0404",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S INC.",
            "identifier": "9-5585RO",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6200051",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "06-3595",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "207071",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "600451",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodriguez Carrer MD
• Jose M Rodriguez Castro, MD
• Sandra Rodriguez Cruz
• Pamela N Rodriguez de la Torre
• David Ruben Rodriguez de Leon, M.D
• Mayra Alexandra Rodriguez Encarnacion, LCSM
• Leilaine Rodriguez Feliciano
• Giovanna Rodriguez Figueroa, MD
• Milton A Rodriguez Figueroa, PHARMD
• Naimy Rodriguez Flores, MD

• Urology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Urology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.