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: July 26, 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
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, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

The NPPES record for Jim Rodriguez was last updated on March 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.