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DR. LUIS GIOVANI CUSTODIO-RODRIGUEZ M.D
NPI 1669919528
Internal Medicine in Isabela, PR

Active since January 30, 2017PECOS Enrolled
3106 CALLE BERMUDA, URB ISLAZUL, ISABELA, PR 00662(787) 455-1631 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 9, 2025, Jan 30, 2017 (2 updates tracked since 2017).

About Dr. Luis Giovani Custodio-rodriguez M.d NPPES

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

DR. LUIS GIOVANI CUSTODIO-RODRIGUEZ M.D (NPI 1669919528) is an individual internal medicine provider in Isabela, Puerto Rico, licensed in Puerto Rico (19523) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669919528
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LUIS GIOVANI CUSTODIO-RODRIGUEZCredential: M.D
Location Address3106 CALLE BERMUDA, URB ISLAZULIsabela, PR 00662-6354
Mailing Address3106 Calle BermudaIsabela, PR 00662-6354 · (787) 455-1631
Phone(787) 455-1631
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 30, 2017
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1669919528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PR · 19523
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luis Giovani Custodio-rodriguez M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749776862
PECOS Enrollment IDI20251229000946
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

3

Medicare enrollment records show Luis Custodio-rodriguez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Comunitario Buen Samaritano Inc
Hospitalist
18 AVE SEVERIANO CUEVAS BO CAIMITAL BAJO
Aguadilla, PR 00603
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 14 clinicians in this Medicare group
NPI 1255973772 (787) 658-0000
Hospital San Carlos Incorporado
Rural
CARR. 110 BARRIO PUEBLO, CALLE CONCEPCION VERA NUM. 550 S.
Moca, PR 00676
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 35 clinicians in this Medicare group
NPI 1104856889 (787) 877-8000
Mcv Health Group LLC
Internal Medicine
18 CALLE RAMON E. BETANCES N
Mayaguez, PR 00680
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1437029287 (787) 652-9200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00662 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Luis Custodio-rodriguez's NPI number?

The NPI number for Luis Custodio-rodriguez is 1669919528. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Where is Luis Custodio-rodriguez located?

Luis Custodio-rodriguez practices at 3106 Calle Bermuda Urb Islazul, Isabela, PR 00662. The listed phone number is (787) 455-1631.

What is Luis Custodio-rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Luis Custodio-rodriguez enrolled in Medicare?

Yes. Luis Custodio-rodriguez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Luis Custodio-rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Custodio-rodriguez reassigns Medicare benefits to 3 organizations: Hospital Comunitario Buen Samaritano Inc (Aguadilla, PR), Hospital San Carlos Incorporado (Moca, PR) and Mcv Health Group LLC (Mayaguez, 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 Luis Custodio-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 Luis Custodio-rodriguez was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.