Individual provider Active NPI

Josue Manuel Rodriguez, PT DPT MCMT

  • Physical Therapist
  • San Sebastian, PR
National Provider Identifier
1902092562
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1445 Issued in PR
Practice address
J18 Calle 6
Urb Villa Rita
San Sebastian, PR 00685-2104
Phone
(939) 292-7022
Fax
(787) 896-6721
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT30149 CA
Physical Therapist 225100000X 1445 PR Primary

Addresses

Primary practice location

J18 Calle 6
Urb Villa Rita
San Sebastian, PR 00685-2104

Mailing address

J18 Calle 6
Urb Villa Rita
San Sebastian, PR 00685-2104
Phone (939) 292-7022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1445PRMDOrthodontics and Dentofacial Orthopedic Dentist
PT30149CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1902092562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J18 CALLE 6",
            "address_2": "URB VILLA RITA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852104",
            "telephone_number": "939-292-7022",
            "fax_number": "787-896-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J18 CALLE 6",
            "address_2": "URB VILLA RITA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852104",
            "telephone_number": "939-292-7022",
            "fax_number": "787-896-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSUE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "PT DPT MCMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30149",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.