DR. EDGAR ALEXIS DE JESUS RODRIGUEZ MD
NPI 1790218162
Ophthalmology in San Juan, PR

Q: What is Edgar De Jesus Rodriguez's NPI number?

The NPI number for Edgar De Jesus Rodriguez is 1790218162. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Q: What is Edgar De Jesus Rodriguez's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment

CENTRO MEDICO DE PUERTO RICO BARRIO MONACILLOS, SAN JUAN, PR 00935(787) 777-3535 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2023, Jun 23, 2020, Jun 10, 2020 (3 updates tracked since 2020).

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About Dr. Edgar Alexis De Jesus Rodriguez Md NPPES

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

DR. EDGAR ALEXIS DE JESUS RODRIGUEZ MD (NPI 1790218162) is an individual ophthalmology provider in San Juan, Puerto Rico, licensed in Puerto Rico (22806) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Utuado, and is a graduate of University Of Puerto Rico School Of Medicine (2023).

NPPES Registry Identity

NPI1790218162

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. EDGAR ALEXIS DE JESUS RODRIGUEZCredential: MD

Location AddressCENTRO MEDICO DE PUERTO RICO BARRIO MONACILLOSSan Juan, PR 00935-7514

Mailing AddressPo Box 365067San Juan, PR 00936-5067 · (787) 777-3535

Phone(787) 777-3535

Sole ProprietorNo

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2023

Enumeration DateApril 4, 2017

Last NPPES UpdateJune 8, 20233 updates tracked since enumeration

NPPES CertifiedJune 8, 2023

✔ NPI 1790218162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PR · 22806

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Secondary Practice Location 1

Location 1HC 4 Box 10517Utuado, PR 00641-7514 · Phone (787) 514-4748

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edgar Alexis De Jesus Rodriguez 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 ID7416309166

PECOS Enrollment IDI20240117004737

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

Medicare enrollment records show Edgar De Jesus Rodriguez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Caribbean Ophthalmology Associates LLC

Ophthalmology

1112 AVE JESUS T PINERO
San Juan, PR 00921

Reassigned Medicare billing, Puerto Rico enrollment

NPI 1699552349 (787) 781-3020

Centro Oftalmologico Metropolitano Csp

Ophthalmology

AVE JESUS T PINERO #1250 CAPARRA TERRACE, CENTRO OFTALMOLOGICO METROPOLITANO CSP
San Juan, PR 00922

Reassigned Medicare billing, Puerto Rico enrollment
22 clinicians in this Medicare group

NPI 1528022027 (787) 781-2565

Oftalmologos Asociados Del Norte Crl

Ophthalmology

200 CARR 2 TORRE MEDICA I PEDRO BLANCO LUGO, SUITE 210
Manati, PR 00674

Reassigned Medicare billing, Puerto Rico enrollment
5 clinicians in this Medicare group

NPI 1215002670 (787) 854-5752

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 00935 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

$70.88 typical visit price

range $18.24 – $140.44

Typical copayment $17.72 (range $4.56 – $35.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

ISABEL TERESA VALLE RODRIGUEZ

Student in an Organized Health Care Education/Training Program