Marinaida La Salle Rodriguez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17797 Issued in PR

Practice address

49 Calle Munoz Rivera
Juncos, PR 00777-3112

Phone

(787) 435-5582

NPI assigned

Jan 20, 2010

Sex

Female

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 4

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

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.

• Southwest Health Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayaguez, PR
  • NPI 1225266059
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1891026555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CALLE CAPESTANY",
            "address_2": "APT. 1",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804049",
            "telephone_number": "787-435-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CALLE MUNOZ RIVERA",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773112",
            "telephone_number": "787-435-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA SALLE RODRIGUEZ",
        "first_name": "MARINAIDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA DE PUERTO RICO (LICENSE)",
            "identifier": "17797",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA DE PUERTO RICO (REGISTRY)",
            "identifier": "80011",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSMCA",
            "identifier": "DM-17668-5",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLEGIO DE MEDICOS DE PUERTO RICO",
            "identifier": "17797",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joely Ambulance Corporation
• Joho Estudio Quiropractico LLC
• Jose Carlos Flores Santiago
• Juncos First Medical Center Inc.
• Juncos Medical Equipment Inc
• Laboratorio Clinico Juncos; Inc
• Laboratorio Clinico Valenciano del Este, Inc.
• Miguel A Laboy Pabon, M.D.
• Erika Lebron
• Legacy Critical Care Ambulance LLC

• General Practice Physician in Juncos, PR
• Providers in Juncos, 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 Feb 15, 2018; 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.