Active NPI
Ernesto R Rodriguez Borgos, DMD
- Dentist
- Arecibo, PR
National Provider Identifier
1972546356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2432
- Practice address
- Calle Gonzalo Marin 111
Arecibo, PR 00612 - Phone
- (787) 878-3661
- Fax
- (787) 780-3281
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2432 | PR | Primary |
Addresses
Primary practice location
Calle Gonzalo Marin 111
Arecibo, PR 00612
Mailing address
1806 Calle Flores
Mansiones de Rio Piedras
San Juan, PR 00926
Phone (939) 642-1724
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170126000879 | PR | Order and Referring Only - Dentist | 3274815204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2432 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1972546356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 CALLE FLORES",
"address_2": "MANSIONES DE RIO PIEDRAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "939-642-1724",
"fax_number": "787-780-3281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE GONZALO MARIN 111",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-878-3661",
"fax_number": "787-780-3281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ BORGOS",
"first_name": "ERNESTO",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
- Gustavo Rodriguez Alvarez, MD
- Milangie Rodriguez Alvarez
- Orlando Alfredo Rodriguez Amador, MD
- Carlos Ivan Rodriguez Ambert
- Edwin Rodriguez Aponte Jr., M.D.
- Carlos Alberto Rodriguez Echevarria, MD
- Dante Isaac Rodriguez Gonzalez, MD
- Zuleyka Rodriguez Orta, PSY D.
- Jose M Rodriguez Rodriguez, MD.
- Jessica Rodriguez Rosado, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.