Individual provider Active NPI

Jose Alberto Rolon-Miranda, M.D.

  • Internal Medicine Physician
  • Coamo, PR
National Provider Identifier
1093776528
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6801 Issued in PR
Practice address
44 Calle Florencio Santiago
Coamo, PR 00769-3208
Phone
(787) 825-2580
Fax
(787) 825-8319
NPI assigned
Apr 1, 2006
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6801 PR Primary

Addresses

Primary practice location

44 Calle Florencio Santiago
Coamo, PR 00769-3208

Mailing address

PO Box 10609
Ponce, PR 00732-0609
Phone (787) 848-3388

Other identifiers 1

IdentifierTypeStateIssuer
6801OtherPRMD LICENCE

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
I20110510000242 PR Practitioner - Internal Medicine 2365628336 Practice locations: Coamo, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

44 Calle Florencio Santiago
Coamo, PR 00769-3208
Phone (787) 825-2580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6801PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1093776528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10609",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320609",
            "telephone_number": "787-848-3388",
            "fax_number": "787-840-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CALLE FLORENCIO SANTIAGO",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693208",
            "telephone_number": "787-825-2580",
            "fax_number": "787-825-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLON-MIRANDA",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "6801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENCE",
            "identifier": "6801",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

Verify at the official NPI Registry.