Individual provider Active NPI

Jessica Rosario, M.D.

  • General Practice Physician
  • Santurce, PR
National Provider Identifier
1013035013
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14501 Issued in PR
Practice address
Centro Plaza, Lloveras 650 Stop 22
Suite 207
Santurce, PR 00909
Phone
(787) 725-7888
Fax
(787) 725-7888
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20131220000134 PR Practitioner - General Practice 7911134838 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14501PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Departamento de Salud Oficial CurrentSince Jan 8, 2024 Accepting new patients
Departamento de Salud Oficial CurrentSince Jan 8, 2024 Accepting new patients
HPM Foundation Inc CurrentSince Feb 3, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGEDDD/Endpoint/JGEDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEGDD/Endpoint/IEEGDD
  • Direct secure messaging: jrosario@prconcra.directbygreenway.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14501 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Centro Plaza, Lloveras 650 Stop 22
Suite 207
Santurce, PR 00909

Mailing address

PO Box 239
Canovanas, PR 00729-0239
Phone (787) 612-3760

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013035013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290239",
            "telephone_number": "787-612-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO PLAZA, LLOVERAS 650 STOP 22",
            "address_2": "SUITE 207",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-725-7888",
            "fax_number": "787-725-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.