Active NPI
Jessica Rosario, M.D.
- General Practice Physician
- Santurce, PR
National Provider Identifier
1013035013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14501
- 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.
-
- Emergency Care Clinic/Center
- Adjuntas, PR
- NPI 1184827370
-
- Federally Qualified Health Center (FQHC)
- San Juan, PR
- NPI 1023730504
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14501 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Departamento de Salud Oficial | Current | Accepting new patients | |
| Departamento de Salud Oficial | Current | Accepting new patients | |
| HPM Foundation Inc | Current | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGEDDD/Endpoint/JGEDDD
- https://fhir4.healow.com/fhir/r4/IEEGDD/Endpoint/IEEGDD
- jrosario@prconcra.directbygreenway.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14501 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.