Jaime Enrique Rodriguez Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12909 Issued in PR

Practice address

151 Ave Osvaldo Molina
Fajardo, PR 00738-4013

Phone

(787) 696-1095

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1952372849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380988",
            "telephone_number": "787-696-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 AVE OSVALDO MOLINA",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384013",
            "telephone_number": "787-696-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JAIME",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agatha L Medina Rodriguez, REGISTERE NURSE
• Bernabe Rodriguez Jr., LCSW
• Carlos Luis Rodriguez, M.D.
• Gabriela D Rodriguez
• Ingrid Deborah Rodriguez, LCSW
• Marangelie Rodriguez, FARMACY TECNICIAN
• Margarita Rodriguez
• Mirna Rodriguez
• Nydia M. Rodriguez, 761
• Maria V. Rolon, PHD

• Internal Medicine Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.