DR. HIRAM RODRIGUEZ-TORRES MD
Accepted Insurance for NPI 1457714321
Internal Medicine in Caguas, PR
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. HIRAM RODRIGUEZ-TORRES MD, a internal medicine provider in Caguas, PR, is listed as in-network for 35 health insurance plans from 3 insurance companies, led by Ambetter from Buckeye Health Plan, Ambetter Health and Ambetter from Meridian. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Gold + Vision + Adult Dental
Elite Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Buckeye Health Plan
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Meridian
Clear Silver
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Gold + Vision + Adult Dental
Everyday Gold
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does DR. HIRAM RODRIGUEZ-TORRES MD accept?
Marketplace files for the 2026 plan year list DR. HIRAM RODRIGUEZ-TORRES MD as in-network for 35 plans from 3 insurance companies. The largest networks are Ambetter from Buckeye Health Plan (16 plans), Ambetter Health (10 plans), Ambetter from Meridian (9 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. HIRAM RODRIGUEZ-TORRES MD enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does DR. HIRAM RODRIGUEZ-TORRES MD participate in?
The accepted plans include 35 HMO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
