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RAUL JOSE RODRIGUEZ
NPI 1104579390
General Practice in Caguas, PR

Active since January 28, 2022PECOS Enrolled
165 URB CAGUAS REAL, CAGUAS, PR 00725(787) 600-5709 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 29, 2022, Jan 28, 2022 (2 updates tracked since 2022).

About Raul Jose Rodriguez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAUL JOSE RODRIGUEZ (NPI 1104579390) is an individual general practice provider in Caguas, Puerto Rico, licensed in Puerto Rico (23031) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104579390
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameRAUL JOSE RODRIGUEZ
Location Address165 URB CAGUAS REALCaguas, PR 00725-9054
Mailing Address165 Urb Caguas RealCaguas, PR 00725-9054
Phone(787) 600-5709
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 28, 2022
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1104579390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 23031
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raul Jose Rodriguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426412636
PECOS Enrollment IDI20230906003104
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

What is Raul Rodriguez's NPI number?

The NPI number assigned to this healthcare provider is 1104579390, enumerated as an "individual" on January 28, 2022.

Where is the provider located?

The provider is located at 165 URB CAGUAS REAL CAGUAS, PR 00725 and the phone number is (787) 600-5709.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.