Mirella Rodriguez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16720 Issued in PR

Practice address

99 Calle Riefkhol
Patillas, PR 00723

Phone

(787) 839-4320

Fax

(787) 271-0004

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centro Servicios Primarios de Salud de Patillas Inc.

  • Federally Qualified Health Center (FQHC)
  • Patillas, PR
  • NPI 1275539728

  PR

  Medicare reassignment Care Compare group NPD
• Centro de Servicios Primarios de Salud de Patillas Inc.

  • Health Service Clinic/Center
  • Salinas, PR
  • NPI 1154070365
  NPD
• Centro Servicios Primarios de Salud de Patillas Inc.Si Satellite Clini

  • Community Health Clinic/Center
  • Santa Isabel, PR
  • NPI 1497163893
  NPD
• Centro Servicios Primarios de Salud de Patillas Inc.

  • Clinical Medical Laboratory
  • Patillas, PR
  • NPI 1518408988
  NPD (past)

Specialty

General Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centro Servicios Primarios de Salud de Patillas Inc. 20 clinicians

Practice addresses (Care Compare)

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mirella.rodriguez@cspsp.directbygreenway.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2016.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1962531673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230697",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CALLE RIEFKHOL",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MIRELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Rodriguez-Morales
• Angelica Rodriguez
• Antonio J Rodriguez, DC
• Judith Mabell Rodriguez
• Maria Margarita Rodriguez, LPN
• Karol M Roig
• Modomi J. Roman Lebron
• Iselle Marie Rosa Santiago, RN BSN
• Sandra Ivelisse Rosa, RN
• Hector Luis Roubert, M.D.

• All providers in Patillas, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.

Verify at the official NPI Registry.