Active NPI
Agustin Andres Rodriguez Lopez
- General Practice Physician
- San Juan, PR
National Provider Identifier
1972204923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17550-I
- Practice address
- 1924 Calle Sauco
San Juan, PR 00927-6718 - Phone
- (787) 514-0492
- NPI assigned
- Mar 16, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 17550-I | PR | Primary |
Addresses
Primary practice location
1924 Calle Sauco
San Juan, PR 00927-6718
Mailing address
1924 Calle Sauco
San Juan, PR 00927-6718
Phone (787) 514-0492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17550-I | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752883200000",
"number": "1972204923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 CALLE SAUCO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276718",
"telephone_number": "787-514-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 CALLE SAUCO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276718",
"telephone_number": "787-514-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ LOPEZ",
"first_name": "AGUSTIN",
"middle_name": "ANDRES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-16",
"last_updated": "2025-07-19",
"certification_date": "2025-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "17550-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Fernando Alan Rodriguez Laguna, MD
- Mariana Rodriguez Leon
- Annabelle Rodriguez Llauger, M.D.
- Jose Ramon Rodriguez Lleras, CRNA
- Adriana Rodriguez Lopez, SLP
- Ixis Nicolle Rodriguez Lopez
- Leyshla Nicole Rodriguez Lopez
- Luis Miguel Rodriguez Lopez, MD
- Ramon Rodriguez Maldonado, OPTICIAN
- Natalia Rodriguez Manon, STUDENT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.