Individual provider Active NPI

Luis A Rodriguez, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1871582072
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2085R0202X Issued in PR
Practice address
1525 Ave Americo Miranda
Caparra Terrace
San Juan, PR 00921-2127
Phone
(787) 273-4245
Fax
(787) 271-2717
NPI assigned
Oct 19, 2005
Last updated
Dec 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2085R0202X PR Primary

Addresses

Primary practice location

1525 Ave Americo Miranda
Caparra Terrace
San Juan, PR 00921-2127

Mailing address

PO Box 364964
San Juan, PR 00936-4964
Phone (787) 273-4245

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
I20040909000204 PR Practitioner - Diagnostic Radiology 8628044427 Reassigns benefits to 4 organizations
Practice locations: Toa Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Calle Antonio R Barcelo
Toa Alta, PR 00953-2444
Phone (787) 870-3245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2085R0202XPRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Servicios Primarios de Salud de Patillas Inc. CurrentSince Nov 5, 2019 Accepting new patients
Health Solution Corp CurrentSince Feb 20, 2025 Accepting new patients
Centro Servicios Primarios de Salud de Patillas Inc. Current Accepting new patients
Centro Servicios Primarios de Salud de Patillas Inc.-Maunabo CurrentSince Nov 5, 2019 Accepting new patients
Toa Alta X Ray Services Diagnostic Radiology Past Accepting new patients
Domenech Vascular Laboratory Inc Past Accepting new patients
Family Health Clinic of Caribbean, Inc Past Accepting new patients
Metrohealth Central Corporation Past Accepting new patients
Clinica de Cuidado Medico, Inc. Past Accepting new patients
Policlinica de Familia Factor Inc Past Accepting new patients
Dorado X-Ray Center Diagnostic Radiology Past Accepting new patients
Centro Diagnostico Y Tratamiento Dr Caparros Inc. Past Accepting new patients
Vega Alta Community Health Past Accepting new patients

Locations

576 Paseo 1
San Juan, PR 00924
Phone (939) 223-1163

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1871582072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364964",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364964",
            "telephone_number": "787-273-4245",
            "fax_number": "787-273-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 AVE AMERICO MIRANDA",
            "address_2": "CAPARRA TERRACE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212127",
            "telephone_number": "787-273-4245",
            "fax_number": "787-271-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "2085R0202X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.