Individual provider Active NPI

Gloria Ivette Rodriguez-Cuadrado, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1861700841
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18548 Issued in PR
Practice address
257 Calle de Tetuan
San Juan, PR 00901-2039
Phone
(787) 822-8623
Fax
(425) 250-8291
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 18548 PR
General Practice Physician 208D00000X A131486 CA
General Practice Physician 208D00000X 34159 OK
Nuclear Medicine Physician 207U00000X 18548 PR
Nuclear Imaging & Therapy Physician 207UN0902X A131486 CA
General Practice Physician 208D00000X 18548 PR Primary

Addresses

Primary practice location

257 Calle de Tetuan
San Juan, PR 00901-2039

Mailing address

PO Box 9023895
San Juan, PR 00902-3895
Phone (787) 822-8623

Other practice location 1

201 Calle Gautier Benitez
Caguas, PR 00725-5527
Phone (787) 754-7278

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
I20241210001571 PR Practitioner - Nuclear Medicine 7911209994 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A131486CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuscan Humacao Nuclear Medicine CurrentSince Oct 1, 2024 Accepting new patients
Nuscan Nuclear Medicine CurrentSince Oct 1, 2024 Accepting new patients
Nuscan CSP Nuclear Medicine Current Accepting new patients

Organizations & group practices 3

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1861700841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9023895",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009023895",
            "telephone_number": "787-822-8623",
            "fax_number": "425-250-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 CALLE DE TETUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012039",
            "telephone_number": "787-822-8623",
            "fax_number": "425-250-8291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Calle Gautier Benitez",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007255527",
            "country_code": "US",
            "telephone_number": "787-754-7278",
            "fax_number": "787-744-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-CUADRADO",
        "first_name": "GLORIA",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "PR",
            "license": "18548",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A131486",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "34159",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "18548",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "CA",
            "license": "A131486",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.