Reynaldo Dejesus-Rodriguez, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

13269 Issued in PR

Practice address

909 Ave Tito Castro Ste 614
Ponce, PR 00716-4722

Phone

(787) 840-8174

Fax

(787) 843-2084

NPI assigned

Sep 20, 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 1

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

Specialty

Neurosurgery

Education

University of Puerto Rico School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Dr. Reynaldo de Jesus Rodriguez PSC

  • Neurological Surgery Physician
  • Ponce, PR
  • NPI 1699068858
  Medicare reassignment
• Saint Lukes Memorial Hospital Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1841295557
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Lukes Memorial Hospital Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1841295557
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1881791663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 614",
            "address_2": "TORRE MEDICA SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-840-8174",
            "fax_number": "787-843-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 614",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164722",
            "telephone_number": "787-840-8174",
            "fax_number": "787-843-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS-RODRIGUEZ",
        "first_name": "REYNALDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PR",
            "license": "13269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037693801",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pablo Jose Decastro, M.D.
• Pura Del Carmen Dedos, PSY.D.,M.A.
• Nilde J. Defendini Cordoliani, P.H.D.
• Deg Anesthesia Group, PSC
• Degmar Clinical Laboratory Inc
• Julio Angel Del Campo, PHD
• Natalie Del Hoyo Rivera
• Erika Maria Del Moral Ballesteros, PHARMD
• Dario E Del Nero
• Priscilla Marie Del Pino Valedon

• Neurological Surgery Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Neurological Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.