Active NPI
Priscilla Marie Medero-Rodriguez, M.D.
- Gastroenterology Physician
- Mayaguez, PR
National Provider Identifier
1942564794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 19556
- Practice address
- 349 Ave Hostos Edif Office Park 1
Suite 201
Mayaguez, PR 00680-3456 - Phone
- (787) 827-8076
- NPI assigned
- Jun 26, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 19556 | PR | Primary |
Addresses
Primary practice location
349 Ave Hostos Edif Office Park 1
Suite 201
Mayaguez, PR 00680-3456
Mailing address
PO Box 3456
Mayaguez, PR 00681-3456
Phone (787) 827-8076
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 |
|---|---|---|---|---|
| I20180503000613 | PR | Practitioner - Gastroenterology | 3971867706 | Practice locations: Mayaguez, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Puerto Rico School of Medicine, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
349 Hostos Office Park I
Suite 201
Mayaguez, PR 00681
Phone (787) 827-8076
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 579 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 287 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1942564794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3456",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006813456",
"telephone_number": "787-827-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 AVE HOSTOS EDIF OFFICE PARK 1",
"address_2": "SUITE 201",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006803456",
"telephone_number": "787-827-8076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDERO-RODRIGUEZ",
"first_name": "PRISCILLA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2024-02-22",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "PR",
"license": "19556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.