Active NPI
Jose German Rodriguez Frontera Sr., M.D.
- General Practice Physician
- San Lorenzo, PR
National Provider Identifier
1932185345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8098
- Practice address
- 173 Luis Munoz Rivera Ave..
San Lorenzo, PR 00754 - Phone
- (787) 736-4117
- Fax
- (787) 736-2499
- NPI assigned
- Dec 16, 2005
- Last updated
- Jan 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8098 | PR | Primary |
Addresses
Primary practice location
173 Luis Munoz Rivera Ave..
San Lorenzo, PR 00754
Mailing address
173 Luis Munoz Rivera St.
San Lorenzo, PR 00754-0981
Phone (787) 736-4117
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100112000187 | PR | Practitioner - General Practice | 7618018789 | Practice locations: San Lorenzo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1932185345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 LUIS MUNOZ RIVERA ST.",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "007540981",
"telephone_number": "787-736-4117",
"fax_number": "787-736-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 LUIS MUNOZ RIVERA AVE..",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "00754",
"telephone_number": "787-736-4117",
"fax_number": "787-736-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ FRONTERA",
"first_name": "JOSE",
"middle_name": "GERMAN",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "8098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Lorenzo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.