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JIM RODRIGUEZ M.D
NPI 1164814034
General Practice in Juana Diaz, PR

Active since March 02, 2015PECOS Enrolled
HC06 6249, JUANA DIAZ, PR 00795(787) 464-2872 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jim Rodriguez M.d NPPES

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

JIM RODRIGUEZ M.D (NPI 1164814034) is an individual general practice provider in Juana Diaz, Puerto Rico, licensed in Puerto Rico (19914) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164814034
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJIM RODRIGUEZCredential: M.D
Location AddressHC06 6249Juana Diaz, PR 00795
Mailing AddressHc06 6249Juana Diaz, PR 00795 · (787) 464-2872
Phone(787) 464-2872
Sole ProprietorYes
Enumeration DateMarch 2, 2015
✔ NPI 1164814034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 19914
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 ListedAllergy & ImmunologyTaxonomy 207K00000X · License 19914 (PR)
Also ListedAnesthesiologyTaxonomy 207L00000X · License 19914 (PR)
Also ListedDermatologyTaxonomy 207N00000X · License 19914 (PR)
Also ListedEmergency MedicineTaxonomy 207P00000X · License 19914 (PR)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 19914 (PR)
Also ListedInternal MedicineTaxonomy 207R00000X · License 19914 (PR)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 19914 (PR)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 19914 (PR)
Also ListedPediatricsTaxonomy 208000000X · License 19914 (PR)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 19914 (PR)
Also ListedPlastic SurgeryTaxonomy 208200000X · License 19914 (PR)
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License 19914 (PR)
Also ListedSurgeryTaxonomy 208600000X · License 19914 (PR)
Also ListedUrologyTaxonomy 208800000X · License 19914 (PR)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jim Rodriguez M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jim Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro De Servicios Primarios De Salud De Patillas Inc.
Health Service
CALLE BARBOSA #14 ESQ, CALLE DIOSDADO, COMUNIDAD EL COCO BARRIO LAPAS
Salinas, PR 00751
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Centro Servicios Primarios De Salud De Patillas Inc.
  • 39 clinicians in this Medicare group
NPI 1154070365 (787) 839-4320
Southern Health Care Group, Inc.
Internal Medicine
SOUTHERN MEDICAL PLAZA, CALLE 3 NUM 80 SUR
Guayama, PR 00784
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 17 clinicians in this Medicare group
NPI 1780770917 (787) 866-1212

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jim Rodriguez's NPI number?

The NPI number for Jim Rodriguez is 1164814034. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Jim Rodriguez located?

Jim Rodriguez practices at Hc06 6249, Juana Diaz, PR 00795. The listed phone number is (787) 464-2872.

What is Jim Rodriguez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jim Rodriguez enrolled in Medicare?

Yes. Jim Rodriguez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jim Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jim Rodriguez reassigns Medicare benefits to 2 organizations: Centro De Servicios Primarios De Salud De Patillas Inc. (Salinas, PR) and Southern Health Care Group, Inc. (Guayama, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jim Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jim Rodriguez was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.