Rosewynda De San Jose Santos, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RX0400 Issued in GU

Practice address

498 Chalan Palosyo
Agana Heights, GU 96910-6427

Phone

(671) 475-5760

NPI assigned

Apr 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rosewynda Arce De San Jose Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1043064561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 CHALAN PALOSYO",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "969106427",
            "telephone_number": "671-475-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 CHALAN PALOSYO",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "969106427",
            "telephone_number": "671-475-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ROSEWYNDA",
        "middle_name": "DE SAN JOSE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GU",
            "license": "RX0400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEWYNDA",
            "last_name": "DE SAN JOSE",
            "middle_name": "ARCE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Baldomero Jerusalem Sagrado Jr., PHARMD
• Alexander Janson Salazar, M.D.
• Maria Melissa Sangalang Samaniego, MD
• Charlene Samonte
• Dondon Rogelio S Santos
• Francine Segovia, PH.D.
• Cassie T Sipe, RD
• Laura B Snell, LCSW
• Rui Zhe Song, PHD
• Allen Marc Soriano, PHARMD

• All providers in Agana Heights, GU
• Registered Nurse in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.