Organization Active NPI

Salvador V. del Rosario,M.D., S.C.

  • Internal Medicine Physician
  • Cedarburg, WI
National Provider Identifier
1053370809
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20277 Issued in WI
Legal business name
SALVADOR V. DEL ROSARIO,M.D., S.C.
Practice address
N54W6135 Mill St
Suite 600
Cedarburg, WI 53012-2021
Phone
(262) 375-1130
Fax
(262) 375-7006
NPI assigned
Mar 21, 2006
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Dr. Salvador Veloso Del Rosario, M.D.
Title
President
Phone
(262) 375-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20277 WI Primary

Addresses

Primary practice location

N54W6135 Mill St
Suite 600
Cedarburg, WI 53012-2021

Mailing address

PO Box 72018
Cedarburg, WI 53012-7218

Other identifiers 1

IdentifierTypeStateIssuer
31155600MedicaidWI

National Provider Directory

National Provider Directory

Locations

N54W6135 Mill St
Ste 600
Cedarburg, WI 53012
Phone (262) 375-1130

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1053370809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72018",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530127218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N54W6135 MILL ST",
            "address_2": "SUITE 600",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122021",
            "telephone_number": "262-375-1130",
            "fax_number": "262-375-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVADOR V. DEL ROSARIO,M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "DEL ROSARIO",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_middle_name": "VELOSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-375-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "20277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31155600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.