Dr Antonio Juan Rodriguez Mimoso, MD - Medicare Obstetrics/gynecology in Hato Rey, PR

Dr Antonio Juan Rodriguez Mimoso, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Hato Rey, Puerto Rico. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Clinica Las Americas Guaynabo, Inc, The Ob/gyn Professionals Group Psc and his current practice location is Ave Fd Roosevelt #400, Suite304, Hato Rey, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 763-6065.

Dr Antonio Juan Rodriguez Mimoso is licensed to practice in Puerto Rico (license number 12583) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912967993.

Contact Information

Dr Antonio Juan Rodriguez Mimoso, MD
Ave Fd Roosevelt #400, Suite304,
Hato Rey, PR 00918
(787) 763-6065
(787) 753-0054



Physician's Profile

Full NameDr Antonio Juan Rodriguez Mimoso
GenderMale
SpecialityObstetrics/gynecology
Experience31 Years
LocationAve Fd Roosevelt #400, Hato Rey, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Antonio Juan Rodriguez Mimoso attended and graduated from Virginia Commonwealth University, School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1912967993
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 05/17/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7012071335
  • Enrollment ID: I20090218000323

Medical Identifiers

Medical identifiers for Dr Antonio Juan Rodriguez Mimoso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912967993NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 12583 (Puerto Rico)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clinica Las Americas Guaynabo, Inc347650407738
The Ob/gyn Professionals Group Psc37796470944

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Antonio Juan Rodriguez Mimoso allows following entities to bill medicare on his behalf.
Entity NameClinica Las Americas Guaynabo, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326096058
PECOS PAC ID: 3476504077
Enrollment ID: O20050201000414

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Entity NameThe Ob/gyn Professionals Group Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477513521
PECOS PAC ID: 3779647094
Enrollment ID: O20090202000404

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Antonio Juan Rodriguez Mimoso is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Antonio Juan Rodriguez Mimoso, MD
Ave Fd Roosevelt #400, Suite304,
Hato Rey, PR 00918

Ph: (787) 763-6065
Dr Antonio Juan Rodriguez Mimoso, MD
Ave Fd Roosevelt #400, Suite304,
Hato Rey, PR 00918

Ph: (787) 763-6065

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Obstetrics & Gynecology Doctors in Hato Rey, PR

Dr. Roberto Oliveras Marquez, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: #400 Roosevelt Ave Fd, Suite 304, Hato Rey, PR 00918
Phone: 787-763-6065    Fax: 787-753-0054
Dr. Owen Gerard Connelly, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: Ave Roosevelt La Torre De Plaza, Suite 701, Hato Rey, PR 00936
Phone: 787-282-6675    
Dr. Alexander Lee Segal, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 239 Ave. Arterial Hostos, Capital Center, Suite 205, Hato Rey, PR 00918
Phone: 787-413-0297    Fax: 787-753-7527
Herminio J Olivero, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: Ave Ponce De Leon 431, National Plaza Suit 1503, Hato Rey, PR 00917
Phone: 787-767-2069    Fax: 787-274-1631
Dr. Rodrigo Diaz, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Ave Fd Roosevet 400, Suite 304, Hato Rey, PR 00918
Phone: 787-753-7406    Fax: 787-753-0054
Ubaldo Armando Catasus, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3 Arterial Hortos, Capital Center 601, Hato Rey, PR 00918
Phone: 787-754-8333    Fax: 787-786-0082

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