MEDICARE: STEVENJMD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1316802309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVENJMD LLC

Provider Business Mailing Address
First Line	:	PO BOX
Second Line	:	9450
City	:	CAGUAS
State	:	PR
Zip	:	00726
Country	:	US
Telephone Number	:	787-374-6869
Fax Number	:

Provider Business Practice Location Address
First Line	:	HIMA PLAZA 1
Second Line	:	OFICINA 511 AVENIDA DEGETAU
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:	787-374-6869
Fax Number	:

Authorized Official
Title or Position	:	M.D.
Name	:	DR. STEVEN J RODRIGUEZ MONGE
Credential	:	M.D.
Telephone Number	:	787-374-6869

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	12/22/2025

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Directions to “STEVENJMD LLC ” Practice Location

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