Jerry Omar Rodriguez Resto, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19444 Issued in PR

Practice address

251 Calle Violeta # 14
Urb San Rafael Estates
Bayamon, PR 00959-4176

Phone

(787) 392-5878

NPI assigned

Sep 10, 2014

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

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

Practice roles

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.

• Varmed Health Center LLC

  • Emergency Care Clinic/Center
  • Bayamon, PR
  • NPI 1356017586
  Medicare reassignment NPD
• Cdtmovil

  • Emergency Care Clinic/Center
  • Bayamon, PR
  • NPI 1316675192

  General Practice

  NPD Authorized official
• Varmed Health Center LLC

  • Rehabilitation Hospital
  • Bayamon, PR
  • NPI 1225752223
  NPD
• Varmed Health Center LLC

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1417670472
  NPD

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1871994749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 CALLE VIOLETA # 14",
            "address_2": "URB SAN RAFAEL ESTATES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009594176",
            "telephone_number": "787-392-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 CALLE VIOLETA # 14",
            "address_2": "URB SAN RAFAEL ESTATES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009594176",
            "telephone_number": "787-392-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RESTO",
        "first_name": "JERRY",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally J Rodriguez Otero
• Rosa Rodriguez Pagan, CSW
• Gloria Milagros Rodriguez Ponsa, DMD
• Antonio Rodriguez Posada, PH.D.
• Eduardo Luis Rodriguez Ramos, PSY.D
• Joel A Rodriguez Rios, D.M.D
• Ada Rodriguez Rivera, MD
• Lidmarie Rodriguez Rivera
• Liza M Rodriguez Rodriguez, PSYD
• Maria Fernanda Rodriguez Rodriguez

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.