Individual provider Active NPI

Luis M. Rodriguez-Mora, M.D.

  • Cardiovascular Disease Physician
  • Arecibo, PR
National Provider Identifier
1942285101
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4282 Issued in PR
Practice address
55 Calle Palma
Susoni Medical Building, Suite 101
Arecibo, PR 00612-4526
Phone
(787) 878-4800
Fax
(787) 817-1237
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4282 PR Primary

Addresses

Primary practice location

55 Calle Palma
Susoni Medical Building, Suite 101
Arecibo, PR 00612-4526

Mailing address

PO Box 597
Arecibo, PR 00613-0597
Phone (787) 878-4800

Other identifiers 4

IdentifierTypeStateIssuer
5774OtherPRINTERNATIONAL MEDICAL CAR
991211OtherPRMEDICARE Y MUCHO MAS
063758OtherPRCRUZ AZUL DE PUERTO RICO
95413OtherPRTRIPLE-S

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
I20120910000279 PR Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9638327034 Practice locations: Arecibo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4282PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942285101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130597",
            "telephone_number": "787-878-4800",
            "fax_number": "787-817-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE PALMA",
            "address_2": "SUSONI MEDICAL BUILDING, SUITE 101",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124526",
            "telephone_number": "787-878-4800",
            "fax_number": "787-817-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-MORA",
        "first_name": "LUIS",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "4282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "5774",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "991211",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PUERTO RICO",
            "identifier": "063758",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "95413",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.