Individual provider Active NPI

Michael A Rodriguez Tirado, MD

  • General Practice Physician
  • Aguada, PR
National Provider Identifier
1932831591
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23371 Issued in PR
Practice address
Carr 115 KM 24.5
Aguada, PR 00602
Phone
(787) 589-7400
NPI assigned
Jun 30, 2022
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23371 PR Primary

Addresses

Primary practice location

Carr 115 KM 24.5
Aguada, PR 00602

Mailing address

Urb. Villas de Las Praderas
Calle Las Gaviotas, Casa #54
Rincon, PR 00677
Phone (939) 339-2976

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
I20240116000040 PR Practitioner - General Practice 7416309406 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Policlinica del Atlantico, Corp. CurrentSince Jan 2, 2025 Accepting new patients
Centro Radiologico Shalom Inc CurrentSince Jul 15, 2024 Accepting new patients
Policlinica del Atlantico Corp CurrentSince Jan 2, 2025 Accepting new patients
Policlinica Familiar Shalom Inc CurrentSince Jul 15, 2024 Accepting new patients
Policlinica Familiar Shalom Inc General Practice CurrentSince Jul 15, 2024 Accepting new patients
Aguada Medical Center, Inc. PastSince Sep 5, 2023 Accepting new patients
Aguada Medical Center Care Club PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1932831591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VILLAS DE LAS PRADERAS",
            "address_2": "CALLE LAS GAVIOTAS, CASA #54",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "00677",
            "telephone_number": "939-339-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 115 KM 24.5",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-589-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ TIRADO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.