Active NPIIndividual providerSole proprietor

Mrs. Gloryvel Rodriguez, MD

General Practice in San Juan, Puerto Rico

NPI Number1114758414
Practice location
255 Ave Ponce De Leon, San Juan, PR 00917-1955
Fax
—
Last updated
November 20, 2025

Gloryvel Rodriguez is a General Practice based in San Juan, PR. Gloryvel Rodriguez practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Gloryvel Rodriguez is 1114758414 and holds a License No. 24631 (PR). The current practice location address for Gloryvel Rodriguez is 255 Ave Ponce De Leon, San Juan, PR 00917-1955 and can be reached out via phone at 833-522-0627.

Provider Profile Details

NPI Number
1114758414
Provider Name
Gloryvel Rodriguez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
255 Ave Ponce De Leon, San Juan, PR 00917-1955
Phone Number
833-522-0627
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 9, 2024
Last Update Date
November 20, 2025
Certification Date
November 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Ave Ponce De Leon
San Juan, PR 00917-1955
Zip
00917-1955
Phone Number
833-522-0627
San Juan, PR 00917Get directions →

Provider Business Mailing Address Details

Address
Na18 Plaza 2
Toa Baja, PR 00949-4802
City
Toa Baja
State
PR
Zip
00949-4802
Phone Number
939-777-0450

License Information

License Number
24631
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Gloryvel Rodriguez, MD?

The NPI number of Mrs. Gloryvel Rodriguez, MD is 1114758414. It was assigned on August 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Mrs. Gloryvel Rodriguez, MD?

Mrs. Gloryvel Rodriguez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 24631.

Where does Mrs. Gloryvel Rodriguez, MD practice?

The practice location is 255 Ave Ponce De Leon, San Juan, PR 00917-1955. The office can be reached at 833-522-0627 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114758414 directly on the NPPES registry website.

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