JUAN VICENTE RODRIGUEZ (NPI# 1851928840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851928840 |
| Entity Type | Individual |
| Full Name | JUAN VICENTE RODRIGUEZ |
| Credential | MD |
| Practice Address |
725 Albany Street Precepting Room Boston MA 02118 |
| Practice Telephone | 6174145951 |
| Practice Fax Number | 6174149251 |
| Mailing Telephone | 6174145951 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947412 | Juan Carlos Rodriguez | General Practice | Urb Olivencia, Calle Julia Ruiz #1, San Sebastian, PR 00685 | 2020-09-22 |
| 1386162758 | Juan C Rodriguez | Behavior Technician | 640 W 15th St, Hialeah, FL 33010-2828 | 2017-09-06 |
| 1679936876 | Juan Gerardo Rodriguez | Counselor | Rr 5 Box 8706, Bayamon, PR 00956-9727 | 2016-04-04 |
| 1669830410 | Juan Rodriguez | Dentist | 7300 Nw 17th St Apt 205, Plantation, FL 33313-5147 | 2016-02-09 |
| 1487043873 | Juan Rodriguez | Dental Hygienist | 174 Kings Hwy, New Rochelle, NY 10801-6604 | 2015-01-22 |
| 1083031033 | Juan Carlos Rodriguez | Internal Medicine | 3393 G St Ste D, Merced, CA 95340-1001 | 2014-03-27 |
| 1639430333 | Juan Manuel Rodriguez | Orthopaedic Surgery | 10908 Sunrise Trl, Brecksville, OH 44141-1427 | 2012-05-30 |
| 1093030538 | Juan Manuel Rodriguez | Physician Assistant | Carr. 852 Km 1.2, Barrio Dos Bocas, Trujillo Alto, PR 00976 | 2010-03-27 |
| 1750589321 | Juan Luis Rodriguez | Emergency Medical Technician, Basic | Parcelas Marueno Calle Jose G Benitez Num 222, Ponce, PR 00731 | 2007-07-05 |
| 1851416051 | Juan M Rodriguez | Preventive Medicine | 14747 N Northsight Blvd, Suite 101-105, Scottsdale, AZ 85260-2631 | 2007-03-20 |
| Street Address |
725 ALBANY STREET PRECEPTING ROOM |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772715 | Theresa Clare Weir | Nurse Practitioner | 725 Albany Street, Shapiro 5 and 6, Boston, MA 02118-2526 | 2005-07-05 |
| 1588292114 | Alexander Lee Yeo | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02128 | 2020-03-30 |
| 1518594928 | Tyler Newshaw Lescure | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02128 | 2020-03-25 |
| 1548897929 | Luke Chmielecki | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1982231379 | Tina Zhang | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02128 | 2020-03-25 |
| 1619511482 | Amelia Hansen | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 | 2019-11-04 |
| 1821649153 | Mariah Barrows | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite C, Boston, MA 02118 | 2019-09-27 |
| 1750939112 | Arielle Davidson | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 | 2019-08-29 |
| 1619532272 | Opal Mahalia Mitchell | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 | 2019-05-08 |
| 1225599608 | Rita Marie Tarabelli | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118-1134 | 2019-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
| 1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
| 1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1962018069 | Cara Connors | Student in an Organized Health Care Education/Training Program | 18 Wiget St Apt 1, Boston, MA 02113-2363 | 2020-09-23 |
| 1023624608 | Bernadette Avila | Student in an Organized Health Care Education/Training Program | 19 Peterborough St Apt 5, Boston, MA 02215-4409 | 2020-09-19 |
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.