Active NPI
Fernando Luis Rosario, O.D.
- Optometrist
- Guayama, PR
National Provider Identifier
1013088442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 261
- Practice address
- Plaza Guayama Mall #48
Suite R.D. 3 KM. 1.34.6
Guayama, PR 00784-0000 - Phone
- (787) 864-6884
- Fax
- (787) 864-6884
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 261 | PR | Primary |
Addresses
Primary practice location
Plaza Guayama Mall #48
Suite R.D. 3 KM. 1.34.6
Guayama, PR 00784-0000
Mailing address
PO Box 2292
Coamo, PR 00769-4292
Phone (787) 864-6884
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261 | PR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Optical Center Inc. | Past | Accepting new patients |
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": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013088442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2292",
"city": "COAMO",
"state": "PR",
"postal_code": "007694292",
"telephone_number": "787-864-6884",
"fax_number": "787-864-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA GUAYAMA MALL #48",
"address_2": "SUITE R.D. 3 KM. 1.34.6",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007840000",
"telephone_number": "787-864-6884",
"fax_number": "787-864-6884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "FERNANDO",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guayama, 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.