Individual provider Active NPI

Brenda Iris Marin Rodriguez, PHD

  • Student in an Organized Health Care Education/Training Program
  • San Juan, PR
National Provider Identifier
1891445839
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
University of Puerto Rico, Medical Sciences Campus,
1101-1113 CLL 56 SE,
San Juan, PR 00921
Phone
(787) 758-2525
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

University of Puerto Rico, Medical Sciences Campus,
1101-1113 CLL 56 SE,
San Juan, PR 00921

Mailing address

Upr Som MSC, Guillermo Arbona Building,
San Juan, PR 00921
Phone (787) 758-2525

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Brenda.marin@upr.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250711001072 CA Order and Referring Only - Family PracticePractitioner - Family Practice 5799290664

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: brenda.marin@upr.edu

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1891445839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UPR SOM MSC, GUILLERMO ARBONA BUILDING,",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-758-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF PUERTO RICO, MEDICAL SCIENCES CAMPUS,",
            "address_2": "1101-1113 CLL 56 SE,",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-758-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN RODRIGUEZ",
        "first_name": "BRENDA",
        "middle_name": "IRIS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brenda.marin@upr.edu",
            "affiliation": "N",
            "address_1": "University of Puerto Rico, Medical Sciences Campus,",
            "address_2": "1101-1113 Cll 56 SE,",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.