Active NPI
Emma Ines Rosario, OTL
- Pediatric Occupational Therapist
- San Juan, PR
National Provider Identifier
1063786937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 848
- Practice address
- 3 Calle Tulane
Cond University Plaza Apt 46
San Juan, PR 00927-4943 - Phone
- (787) 479-7465
- NPI assigned
- Feb 23, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 848 | PR | Primary |
Addresses
Primary practice location
3 Calle Tulane
Cond University Plaza Apt 46
San Juan, PR 00927-4943
Mailing address
3 Calle Tulane
Cond University Plaza Apt 46
San Juan, PR 00927-4943
Phone (787) 479-7465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220926000035 | PR | Practitioner - Occupational Therapist in Private Practice | 4789069972 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 848 | PR | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1063786937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CALLE TULANE",
"address_2": "COND UNIVERSITY PLAZA APT 46",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274943",
"telephone_number": "787-479-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CALLE TULANE",
"address_2": "COND UNIVERSITY PLAZA APT 46",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274943",
"telephone_number": "787-479-7465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "EMMA",
"middle_name": "INES",
"name_prefix": "Mrs.",
"credential": "OTL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "PR",
"license": "848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.