Individual provider Active NPI

Annabelle Itzel Perez Rosario, M.D

  • Personal Emergency Response Attendant
  • Lares, PR
National Provider Identifier
1003978636
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
16433 Issued in PR
Practice address
Calle San Jose
6
Lares, PR 00669
Phone
(787) 454-1187
Fax
(787) 878-0462
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 16433 PR Primary

Addresses

Primary practice location

Calle San Jose
6
Lares, PR 00669

Mailing address

P.O Box 141012
Arecibo, PR 00614-1012
Phone (787) 454-1187

Other names 1

  • Dr. Annabelle Itzel Perez Rosario Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000702 PR Practitioner - General Practice 4183709322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16433PRMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Dec 10, 2015 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Dec 10, 2015 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003978636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 141012",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141012",
            "telephone_number": "787-454-1187",
            "fax_number": "787-878-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SAN JOSE",
            "address_2": "6",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-454-1187",
            "fax_number": "787-878-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ROSARIO",
        "first_name": "ANNABELLE",
        "middle_name": "ITZEL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "16433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNABELLE",
            "last_name": "PEREZ ROSARIO",
            "middle_name": "ITZEL",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lares, PR

Sources for this page

Verify at the official NPI Registry.