Individual provider Active NPI

Rodolfo Ramirez Carrero, M.D.

  • Specialist
  • Sabana Grande, PR
National Provider Identifier
1962549980
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12035 Issued in PR
Practice address
Avenida 5 de Diciembre #114 Suite 104
Sabana Grande, PR 00637
Phone
(787) 873-6555
Fax
(787) 804-0360
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12035 PR Primary

Addresses

Primary practice location

Avenida 5 de Diciembre #114 Suite 104
Sabana Grande, PR 00637

Mailing address

PO Box 79
San German, PR 00683-0079
Phone (787) 538-9699

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200224002063 PR Practitioner - Obstetrics/Gynecology 0941637391 Practice locations: Sabana Grande, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12035PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Corp. Past Accepting new patients
Hospital de la Concepcion Inc Past Accepting new patients
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc Past Accepting new patients
Consalud LLC PastSince Nov 24, 2024 Accepting new patients
Priscilla M Soto Justiniano LLC PastSince May 25, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rramirezcarrero@2441.securemail.prognocis.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1962549980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830079",
            "telephone_number": "787-538-9699",
            "fax_number": "787-804-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA 5 DE DICIEMBRE #114 SUITE 104",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-873-6555",
            "fax_number": "787-804-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ CARRERO",
        "first_name": "RODOLFO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "12035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.