Individual provider Active NPI

Fernando Luis Rosario, O.D.

  • Optometrist
  • Guayama, PR
National Provider Identifier
1013088442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
261 Issued in PR
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

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712001535 PR Practitioner - Optometry 0840525820 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
261PRMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.