KENNETH JOSUE RODRIGUEZ RIVERA MD
NPI 1750244596
General Practice in San Juan, PR

Active since December 08, 2025PECOS EnrolledAccepts Medicare Assignment
155 AVE ARTERIAL HOSTOS, SAN JUAN, PR 00918(787) 431-0788 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Josue Rodriguez Rivera Md NPPES

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

KENNETH JOSUE RODRIGUEZ RIVERA MD (NPI 1750244596) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (24760) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750244596
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKENNETH JOSUE RODRIGUEZ RIVERACredential: MD
Location Address155 AVE ARTERIAL HOSTOSSan Juan, PR 00918-2987
Mailing AddressHc 57 Box 11027Aguada, PR 00602-8802
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
NPI 1750244596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 24760
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenneth Josue Rodriguez Rivera Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557836129
PECOS Enrollment IDI20260410002783
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
155 AVE ARTERIAL HOSTOS, GOLDEN COURT II BOX 306 APT. Q-102
SAN JUAN, PR 00918
General Practice
155 AVE ARTERIAL HOSTOS
SAN JUAN, PR 00918

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 Kenneth Rodriguez Rivera's NPI number?

The NPI number for Kenneth Rodriguez Rivera is 1750244596. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Kenneth Rodriguez Rivera located?

Kenneth Rodriguez Rivera practices at 155 Ave Arterial Hostos, San Juan, PR 00918. The listed phone number is (787) 431-0788.

What is Kenneth Rodriguez Rivera's specialty?

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

Is Kenneth Rodriguez Rivera enrolled in Medicare?

Yes. Kenneth Rodriguez Rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Rodriguez Rivera was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.