MR. CARLOS RUBEN GARCIA RODRIGUEZ MD
NPI 1891736997
Internal Medicine - Critical Care Medicine in San Juan, PR

Q: What is Carlos Garcia Rodriguez's NPI number?

The NPI number for Carlos Garcia Rodriguez is 1891736997. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Carlos Garcia Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment

67.09/100

CMS Quality Rating

400 AVE FD ROOSEVELT, EDIF CLINICA LAS AMERICAS OFIC 205, SAN JUAN, PR 00918(787) 765-1919(787) 763-4049 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. Carlos Ruben Garcia Rodriguez Md NPPES

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

MR. CARLOS RUBEN GARCIA RODRIGUEZ MD (NPI 1891736997) is an individual critical care medicine provider in San Juan, Puerto Rico, licensed in Puerto Rico (13628) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Doctor's Center De San Juan, and is a graduate of University Of Puerto Rico School Of Medicine (1997).

NPPES Registry Identity

NPI1891736997

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameMR. CARLOS RUBEN GARCIA RODRIGUEZCredential: MD

Location Address400 AVE FD ROOSEVELT, EDIF CLINICA LAS AMERICAS OFIC 205San Juan, PR 00918-2103

Mailing AddressEdif Clinica Las Americas Ofic 205, Ave. Roosevelt #400San Juan, PR 00918 · (787) 765-1919 · Fax (787) 763-4049

Phone(787) 765-1919

Fax(787) 763-4049

Sole ProprietorNo

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1997

Enumeration DateJune 9, 2006

Last NPPES UpdateNovember 30, 2017

✔ NPI 1891736997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in PR · 13628

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Other Identifiers 2

Medicare ID-Type Unspecified23329PR · Numero Proveedor

Medicare UPINI43949PR

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

Mr. Carlos Ruben Garcia 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 ID7719904085

PECOS Enrollment IDI20051026000303

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 Carlos Garcia Rodriguez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Pulmonary Medical Services

Preferred Provider Organization

400 AVE FD ROOSEVELT, CLINICA LAS AMERICAS SUITE 205
San Juan, PR 00918

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

NPI 1750660619 (787) 765-1919

Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc.

General Acute Care Hospital

735 AVE PONCE DE LEON, STOP 37.5
San Juan, PR 00917

Reassigned Medicare billing, Puerto Rico enrollment
Also billed through NPI 1487947214 (Puerto Rico)
31 clinicians in this Medicare group

NPI 1376561522 (787) 758-2000

Instituto Neumologico De Puerto Rico

Specialist

EDIF CLINICA LAS AMERICAS OFIC 205, 400 ROOSEVELT AVE
San Juan, PR 00918

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

NPI 1013907864 (787) 765-1919

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

346 services93 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

115 services43 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

57 services15 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

54 services42 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

33 services32 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

33 services32 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctor's Center De San Juan

Acute Care Hospitals · San Juan, PR

OwnershipProprietary

CMS Certification Number400006

Location1395 Calle San Rafael Parada 20San Juan, PR 00909 · San Juan County

Emergency services

Auxilio Mutuo Hospital

Acute Care Hospitals · San Juan, PR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number400016

LocationPonce De Leon Avenue 735 Stop 37 1/2San Juan, PR 00918 · San Juan County

Emergency services

Hospital Pavia Santurce

Acute Care Hospitals · San Juan, PR

OwnershipVoluntary non-profit - Private

CMS Certification Number400019

LocationStreet Profesor Augusto Rodriguez #1462San Juan, PR 00910 · San Juan County

Emergency services

Doctors Center Hospital Carolina LLC

Acute Care Hospitals · Carolina, PR

OwnershipProprietary

CMS Certification Number400132

LocationEdif Jesus T Pineiro Ave Fernandez Juncos Bo PueblCarolina, PR 00979 · San Juan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00918 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.73

Promoting Interoperability

Improvement Activities

Cost

68.24

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers17 claims18 services$21.00 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers18 claims18 services$8.05 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers23 claims27 services$46.83 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers21 claims22 services$119.49 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier18 claims18 services$38.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

PHILADELPHIA PARTNERS, PSC

Urology

400 AVE FD ROOSEVELT, SUITE 306
SAN JUAN, PR 00918

San Juan Municipio (787) 756-5200

TOME & UBINAS RADIO ONCOLOGY CENTER

Clinic/Center (Oncology, Radiation)

400 AVE FD ROOSEVELT, SUITE 109
SAN JUAN, PR 00918

San Juan Municipio (787) 764-5666

LUIS A ARTURI MD

Internal Medicine (Gastroenterology)

400 AVE FD ROOSEVELT
SAN JUAN, PR 00918

San Juan Municipio (787) 764-8787

IRMA MICHELLE LORENZI DMD

Dentist

400 AVE FD ROOSEVELT
SAN JUAN, PR 00918

San Juan Municipio (787) 250-5055

JOSE S. REYES TORRES

Colon & Rectal Surgery

400 AVE FD ROOSEVELT, STE 202
SAN JUAN, PR 00918

San Juan Municipio (787) 621-3700

LABORATORIO CLINICO C L A INC

Clinical Medical Laboratory

400 AVE FD ROOSEVELT, SUITE 201
SAN JUAN, PR 00918

San Juan Municipio (787) 744-0330

DR. RICARDO H BRAU M.D.

Neurological Surgery

400 AVE FD ROOSEVELT, SUITE 511
SAN JUAN, PR 00918

San Juan Municipio (787) 763-1310

ORLANDO CANIZARES ROSARIO M.D.

Surgery (Plastic and Reconstructive Surgery)

400 AVE FD ROOSEVELT, SUITE 412
SAN JUAN, PR 00918

San Juan Municipio (787) 949-5027

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 Carlos Garcia Rodriguez's NPI number?

The NPI number for Carlos Garcia Rodriguez is 1891736997. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Carlos Garcia Rodriguez located?

Carlos Garcia Rodriguez practices at 400 Ave Fd Roosevelt Edif Clinica Las Americas Ofic 205, San Juan, PR 00918. The listed phone number is (787) 765-1919.

What is Carlos Garcia Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Carlos Garcia Rodriguez enrolled in Medicare?

Yes. Carlos Garcia Rodriguez 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.

Which organizations bill Medicare for Carlos Garcia Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Garcia Rodriguez reassigns Medicare benefits to 3 organizations: Critical Pulmonary Medical Services (San Juan, PR), Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc. (San Juan, PR) and Instituto Neumologico De Puerto Rico (San Juan, 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 Carlos Garcia Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carlos Garcia Rodriguez affiliated with any hospitals?

According to CMS data, Carlos Garcia Rodriguez is affiliated with Doctor's Center De San Juan, Auxilio Mutuo Hospital, Hospital Pavia Santurce and Doctors Center Hospital Carolina LLC.

When was this NPI record last updated?

The NPPES record for Carlos Garcia Rodriguez was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.