Individual provider Active NPI

Jose A Rodriguez

  • Specialist
  • Arecibo, PR
National Provider Identifier
1972535938
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11533 Issued in PR
Practice address
Hospital Cayetano Coll Y Toste
Carretera #129, Suite#110
Arecibo, PR 00614-0151
Phone
(787) 880-5533
Fax
(787) 880-5544
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11533 PR Primary

Addresses

Primary practice location

Hospital Cayetano Coll Y Toste
Carretera #129, Suite#110
Arecibo, PR 00614-0151

Mailing address

PO Box 140151
Arecibo, PR 00614-0151
Phone (787) 880-5533

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
I20050526000829 PR Practitioner - Obstetrics/Gynecology 9537141148 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Pavia Arecibo Hosp
110 Carr 129 Ave San Luis
Arecibo, PR 00612
Phone (787) 880-5533

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11533PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1972535938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140151",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140151",
            "telephone_number": "787-880-5533",
            "fax_number": "787-880-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL CAYETANO COLL Y TOSTE",
            "address_2": "CARRETERA #129, SUITE#110",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140151",
            "telephone_number": "787-880-5533",
            "fax_number": "787-880-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.