Active NPI
Irwin W Rosado
- Optician
- Ponce, PR
National Provider Identifier
1033219811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 047
- Practice address
- VA Ponce Outpatient Clinic
Paseo del Veterano 1010
Ponce, PR 00716-2001 - Phone
- (787) 812-3030
- Fax
- (787) 651-4321
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 047 | PR | Primary |
Addresses
Primary practice location
VA Ponce Outpatient Clinic
Paseo del Veterano 1010
Ponce, PR 00716-2001
Mailing address
159 Calle a
Urb. la Vega
Villalba, PR 00766-1716
Phone (787) 847-4272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047 | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033219811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 CALLE A",
"address_2": "URB. LA VEGA",
"city": "VILLALBA",
"state": "PR",
"postal_code": "007661716",
"telephone_number": "787-847-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA PONCE OUTPATIENT CLINIC",
"address_2": "PASEO DEL VETERANO 1010",
"city": "PONCE",
"state": "PR",
"postal_code": "007162001",
"telephone_number": "787-812-3030",
"fax_number": "787-651-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "IRWIN",
"middle_name": "W",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.