Active NPI
Jaime Luis Rodriguez, M.D.
- Child & Adolescent Psychiatry Physician
- Villalba, PR
National Provider Identifier
1982852489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 18240
- Practice address
- HC 2 Box 4948
Villalba, PR 00766-9718 - Phone
- (787) 377-1277
- NPI assigned
- Sep 9, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18240 | PR | |
| Psychiatry Physician | 2084P0800X | 18240 | PR | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 18240 | PR | Primary |
Addresses
Primary practice location
HC 2 Box 4948
Villalba, PR 00766-9718
Mailing address
HC 2 Box 4948
Villalba, PR 00766-9718
Phone (787) 377-1277
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18240 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Behavioral Care Corp. | Current | Accepting new patients | |
| Inspira Behavioral Care Corp. | Current | Accepting new patients | |
| Inspira Behavioral Care Corp | Current | Accepting new patients | |
| Serenity Integrated Medical Group PSC | Psychiatry | Current | Accepting new patients |
| Inspira Mental Health Management | Past | Accepting new patients | |
| Inspira Behavioral Care Corp. | Past | Accepting new patients |
Locations
1123 Ave Hostos
Ponce, PR 00717
Phone (787) 377-1277
55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Ponce, PR
- NPI 1538945969
-
- Adult Mental Health Clinic/Center
- Cidra, PR
- NPI 1063928596
-
- Clinic/Center
- Ponce, PR
- NPI 1548084635
-
- Adult Mental Health Clinic/Center
- Yauco, PR
- NPI 1972019651
-
- Adult Mental Health Clinic/Center
- Guayama, PR
- NPI 1578065116
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Guayama, PR
- NPI 1114388691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1982852489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 4948",
"city": "VILLALBA",
"state": "PR",
"postal_code": "007669718",
"telephone_number": "787-377-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 2 BOX 4948",
"city": "VILLALBA",
"state": "PR",
"postal_code": "007669718",
"telephone_number": "787-377-1277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JAIME",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-09",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18240",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "18240",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PR",
"license": "18240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Villalba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.