Individual provider Active NPI

Rosangela Rosado Carmona, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1073842258
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17796 Issued in PR
Practice address
251 Calle Canals
Canals Plaza Apt. 503
San Juan, PR 00907-3003
Phone
(787) 642-7729
NPI assigned
Dec 16, 2009
Last updated
Dec 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17796 PR Primary

Addresses

Primary practice location

251 Calle Canals
Canals Plaza Apt. 503
San Juan, PR 00907-3003

Mailing address

251 Calle Canals
Canals Plaza Apt. 503
San Juan, PR 00907-3003

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
I20110120000230 PR Practitioner - General Practice 6901085117 Reassigns benefits to 6 organizations
Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17796PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince Jul 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc General Practice Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jul 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc General Practice Current Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc. General Practice CurrentSince Jul 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jul 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Wound and Ulcer Care Clinic of San Past Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1073842258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 CALLE CANALS",
            "address_2": "CANALS PLAZA APT. 503",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 CALLE CANALS",
            "address_2": "CANALS PLAZA APT. 503",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073003",
            "telephone_number": "787-642-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO CARMONA",
        "first_name": "ROSANGELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.