Jose Rolando Pena, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11221 Issued in PR

Practice address

K2 Calle 4
Rio Grande, PR 00745-2823

Phone

(787) 887-7837

Fax

(787) 887-0020

NPI assigned

Feb 28, 2006

Last updated

May 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro Clinico del Yunque, CSP

  • Clinic/Center
  • Rio Grande, PR
  • NPI 1265722383
  Authorized official Same address or phone
• Centro de Evaluacion Y Tratamiento Psicologico del Noreste CSP

  • Psychologist
  • Rio Grande, PR
  • NPI 1669199824
  NPD (past)
• Xpress Medical Transport Corp

  • Land Ambulance
  • Luquillo, PR
  • NPI 1104166990
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1982670931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43001",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007456600",
            "telephone_number": "787-887-7837",
            "fax_number": "787-887-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "K2 CALLE 4",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452823",
            "telephone_number": "787-887-7837",
            "fax_number": "787-887-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "AVENIDA FERNANDEZ GARCIA #26 PLAZA LUQUILLO LOTE 18",
            "address_purpose": "LOCATION",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "00773",
            "country_code": "US",
            "telephone_number": "787-889-4002",
            "fax_number": "787-889-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "JOSE",
        "middle_name": "ROLANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Victoria Padilla, PHD
• Maribel Pagan, P.T.
• Palmer Medical Services Inc
• Daphne Liz Parrilla Betancourt, LCSW,MSW
• Pediatric Endocrinology Services
• Joanna M Pereira-Romero, MCPL
• Krystal Perez
• Nelmarie J Perez, D.M.D.
• Nelson A Perez, DMD
• Paloma Maria Perez

• General Practice Physician in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.