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DR. ANTONIO JUAN RODRIGUEZ MIMOSO MD
NPI 1912967993
Obstetrics & Gynecology in Hato Rey, PR

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
AVE FD ROOSEVELT #400, SUITE304, HATO REY, PR 00918(787) 763-6065(787) 753-0054 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Antonio Juan Rodriguez Mimoso Md NPPES

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

DR. ANTONIO JUAN RODRIGUEZ MIMOSO MD (NPI 1912967993) is an individual obstetrics & gynecology provider in Hato Rey, Puerto Rico, licensed in Puerto Rico (12583) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (1993).

NPPES Registry Identity

NPI1912967993
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ANTONIO JUAN RODRIGUEZ MIMOSOCredential: MD
Location AddressAVE FD ROOSEVELT #400, SUITE304Hato Rey, PR 00918
Mailing AddressAve Fd Roosevelt #400, Suite304Hato Rey, PR 00918 · (787) 763-6065 · Fax (787) 753-0054
Phone(787) 763-6065
Fax(787) 753-0054
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1993
Enumeration DateMarch 24, 2006
Last NPPES UpdateMay 17, 2011
✔ NPI 1912967993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PR · 12583
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
AVE FD ROOSEVELT #400, Hato Rey, PR 00918
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Other Identifiers 1

Medicare UPINH68138PR

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. Antonio Juan Rodriguez Mimoso 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 ID7012071335
PECOS Enrollment IDI20090218000323
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

2

Medicare enrollment records show Antonio Rodriguez Mimoso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinica Las Americas Guaynabo, Inc
General Practice
1 AVE CASA LINDA
Bayamon, PR 00959
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 75 clinicians in this Medicare group
NPI 1033508197 (787) 789-1996
The Ob-Gyn Professionals Group Psc
Specialist
400 AVE FD ROOSEVELT, SUITE 304
San Juan, PR 00918
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 4 clinicians in this Medicare group
NPI 1477513521 (787) 753-7406

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.

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.
21 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services15 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
16 services16 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
15 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

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
$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.

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 Antonio Rodriguez Mimoso's NPI number?

The NPI number for Antonio Rodriguez Mimoso is 1912967993. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Antonio Rodriguez Mimoso located?

Antonio Rodriguez Mimoso practices at Ave Fd Roosevelt #400 Suite304, Hato Rey, PR 00918. The listed phone number is (787) 763-6065.

What is Antonio Rodriguez Mimoso's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Antonio Rodriguez Mimoso enrolled in Medicare?

Yes. Antonio Rodriguez Mimoso 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 Antonio Rodriguez Mimoso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Rodriguez Mimoso reassigns Medicare benefits to 2 organizations: Clinica Las Americas Guaynabo, Inc (Bayamon, PR) and The Ob-Gyn Professionals Group Psc (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 Antonio Rodriguez Mimoso'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 Antonio Rodriguez Mimoso was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.