Individual provider Active NPI

Luis Alberto Rodriguez, M.D.

  • Obstetrics & Gynecology Physician
  • Yauco, PR
National Provider Identifier
1891779237
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14183 Issued in PR
Practice address
29 Calle Pasarell
Yauco, PR 00698-3679
Phone
(787) 856-6100
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 14183 PR Primary

Addresses

Primary practice location

29 Calle Pasarell
Yauco, PR 00698-3679

Mailing address

PO Box 7717
Ponce, PR 00732-7717
Phone (787) 381-6462

Other practice location 1

65 Calle Comercio
Yauco, PR 00698-3541
Phone (787) 856-0844

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
I20060207000424 PR Practitioner - Obstetrics/Gynecology 5092720433 Practice locations: Yauco, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ponce School of Medicine, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13 Calle Pacheco S
Yauco, PR 00698-3568
Phone (787) 856-6100

Hospital & facility affiliations

  • Hospital Pavia Yauco Hospital, Yauco, PR, CCN 400110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients
Metro Ponce Inc Past Accepting new patients
Centro de Vacunacion Policlinica Dr. Radames Marin, Inc. Past Accepting new patients
Policlinica Las Americas Medical Center, Inc. Obstetrics & Gynecology Past Accepting new patients
Policlinica Dr. Radames Marin Inc PastSince Aug 23, 1993 Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1891779237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7717",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327717",
            "telephone_number": "787-381-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE PASARELL",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983679",
            "telephone_number": "787-856-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Calle Comercio",
            "address_purpose": "LOCATION",
            "city": "Yauco",
            "state": "PR",
            "postal_code": "006983541",
            "country_code": "US",
            "telephone_number": "787-856-0844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "14183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.