Carlos J Rodriguez Mateo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10434 Issued in PR

Practice address

58 Calle Barbosa
Bo Coqui
Aguirre, PR 00704-2420

Phone

(787) 824-6395

Fax

(787) 824-7655

NPI assigned

Nov 23, 2005

Last updated

Oct 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Sur-Med Medical Corp

  • Multi-Specialty Clinic/Center
  • Salinas, PR
  • NPI 1366425050
  Medicare reassignment NPD Authorized official
• Grupo Medico Sur-Med

  • General Practice Physician
  • Salinas, PR
  • NPI 1588970131
  Medicare reassignment NPD
• Sur-Med Medical Corp.

  • Clinical Medical Laboratory
  • Salinas, PR
  • NPI 1972594836
  NPD Authorized official
• Isla Verde Health and Wellness Corp.

  • General Practice Physician
  • Carolina, PR
  • NPI 1578265435
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1952384877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "007040424",
            "telephone_number": "787-824-6395",
            "fax_number": "787-824-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CALLE BARBOSA",
            "address_2": "BO COQUI",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "007042420",
            "telephone_number": "787-824-6395",
            "fax_number": "787-824-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MATEO",
        "first_name": "CARLOS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Pomales
• Rosa Julia Martinez, PSY.D.
• Medical Commnad PRNG
• Mariely Janet Ortiz
• Oscar Vargas (vargas ambulance service)
• Sistema de Salud Franciscano
• Sistema de Salud Franciscano
• Paola N Suarez-Quiros
• Marilyn Vega, PHARMD

• General Practice Physician in Aguirre, PR
• Providers in Aguirre, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.

Verify at the official NPI Registry.