Individual provider Active NPI

Norman Javier De la Rosa, M.D.

  • Urology Physician
  • Guaynabo, PR
National Provider Identifier
1013113802
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
15439 Issued in PR
Practice address
1353 Ave. Luis Vigoreaux
PMB 747
Guaynabo, PR 00966-2700
Phone
(787) 414-3942
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 15439 PR Primary

Addresses

Primary practice location

1353 Ave. Luis Vigoreaux
PMB 747
Guaynabo, PR 00966-2700

Mailing address

37 Calle Belen
Alturas de San Patricio
Guaynabo, PR 00968-3123
Phone (787) 792-4988

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
I20101012000656 PR Practitioner - Urology 3072705847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University Central del Caribe Escuela de Medicina, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

65 Carr 3 KM8
Carolina, PR 00984
Phone (809) 757-6420

Ave de Diego 369
207 Torre San Francisco
Rio Piedras, PR 00923-0000
Phone (787) 767-7614

Hospital & facility affiliations

  • Hospital San Francisco Hospital, San Juan, PR, CCN 400098
  • Hospital Upr, Dr Federico Trilla Hospital, Carolina, PR, CCN 400112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15439PRMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Aug 2, 2010 Accepting new patients
Urology Care LLC Urology CurrentSince Sep 26, 2012 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 2, 2010 Accepting new patients
Servicios Medicos Universitarios Inc Past Accepting new patients

Locations

1353 Ave Luis Vigoreaux
Guaynabo, PR 00966

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1013113802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CALLE BELEN",
            "address_2": "ALTURAS DE SAN PATRICIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683123",
            "telephone_number": "787-792-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 AVE. LUIS VIGOREAUX",
            "address_2": "PMB 747",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662700",
            "telephone_number": "787-414-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "NORMAN",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "15439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.