Individual provider Active NPI

Maria L. Rodriguez, M.D.

  • Family Medicine Physician
  • Bayamon, PR
National Provider Identifier
1992744098
Registry record updated Apr 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11114 Issued in PR
Practice address
64 Calle Santa Cruz
Ste 208 Galeria Medica
Bayamon, PR 00961-7004
Phone
(787) 269-1022
Fax
(787) 269-1077
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11114 PR
Family Medicine Physician 207Q00000X 11114 PR Primary

Addresses

Primary practice location

64 Calle Santa Cruz
Ste 208 Galeria Medica
Bayamon, PR 00961-7004

Mailing address

64 Calle Santa Cruz
Ste 208 Galeria Medica
Bayamon, PR 00961-7004
Phone (787) 269-1022

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
I20160615001652 PR Practitioner - Family Practice 5991096331 Practice locations: Bayamon, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Specialists Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461974400000",
    "number": "1992744098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CALLE SANTA CRUZ",
            "address_2": "STE 208 GALERIA MEDICA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617004",
            "telephone_number": "787-269-1022",
            "fax_number": "787-269-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CALLE SANTA CRUZ",
            "address_2": "STE 208 GALERIA MEDICA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617004",
            "telephone_number": "787-269-1022",
            "fax_number": "787-269-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11114",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.