Active NPI
Mayra Rodriguez, M.D.
- Internal Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 262874
- Practice address
- 1317 Castle Hill Ave
Bronx, NY 10462-4806 - Phone
- (718) 765-6343
- NPI assigned
- Jul 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 262874 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1317 Castle Hill Ave
Bronx, NY 10462-4806
Mailing address
PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730
Other practice location 1
1776 Eastchester Rd
PD Unit - 2nd floor
Bronx, NY 10461-2341
Phone (718) 405-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
111 Clock Towe CMNS
Brewster, NY 10509-4055
1776 Eastchester Rd
PD Unit 2ND FL
Bronx, NY 10461-2341
3198 Grand Concourse
3Rd Floor
Bronx, NY 10458-1000
550 Mamaroneck Ave
Suite 302
Harrison, NY 10528-1616
PO Box
Suite 746087
Atlanta, GA 30374-6087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients |
Locations
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Pain Medicine Physician
- Pocatello, ID
- NPI 1699141150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1972890242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746087",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746087",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 CASTLE HILL AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104624806",
"telephone_number": "718-765-6343"
}
],
"practiceLocations": [
{
"address_1": "1776 Eastchester Rd",
"address_2": "PD Unit - 2nd floor",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104612341",
"country_code": "US",
"telephone_number": "718-405-8040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MAYRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "262874",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.