Active NPI
Luis M. Rodriguez-Mora, M.D.
- Cardiovascular Disease Physician
- Arecibo, PR
National Provider Identifier
1942285101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4282
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5774 | Other | PR | INTERNATIONAL MEDICAL CAR |
| 991211 | Other | PR | MEDICARE Y MUCHO MAS |
| 063758 | Other | PR | CRUZ AZUL DE PUERTO RICO |
| 95413 | Other | PR | TRIPLE-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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120910000279 | PR | Practitioner - Internal Medicine | 9638327034 | Practice locations: Arecibo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4282 | PR | MD | Pharmacist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.