Individual provider Active NPI

Roberto Rodriguez, MD

  • Family Medicine Physician
  • Cidra, PR
National Provider Identifier
1861697971
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16952 Issued in PR
Practice address
Ave. El Jibaro Carr. 172 KM 13.5
Bo. Bayamon
Cidra, PR 00739
Phone
(787) 739-8182
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16952 PR Primary

Addresses

Primary practice location

Ave. El Jibaro Carr. 172 KM 13.5
Bo. Bayamon
Cidra, PR 00739

Mailing address

PO Box 9512
Caguas, PR 00726-9512
Phone (787) 244-3161

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
I20140922000835 PR Practitioner - Family Practice 0648499848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Univ of Western Ontario Schulich School of Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

6 Carr
31 KM
Juncos, PR 00777-3871
Phone (787) 737-2311

Calle Rafael Laza
Suite 32
Aguas Buenas, PR 00703
Phone (787) 737-2311

Carr 156 KM
Suite 3
Aguas Buenas, PR 00703
Phone (787) 737-2311

PO Box
Suite 1277
Gurabo, PR 00778-1277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince Oct 15, 2021 Accepting new patients
Neomed Center, Inc. CurrentSince Oct 15, 2021 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Neomed Center, Inc Current Accepting new patients

Organizations & group practices 4

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1861697971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9512",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269512",
            "telephone_number": "787-244-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. EL JIBARO CARR. 172 KM 13.5",
            "address_2": "BO. BAYAMON",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.