Active NPI
Rosa J Mir, BSN
- Registered Nurse
- Toa Baja, PR
National Provider Identifier
1104266295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 23647
- Practice address
- Aa-17, Boulevard Monroig
Levitown
Toa Baja, PR 00949 - Phone
- (787) 960-2327
- NPI assigned
- Jul 3, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 23647 | PR | Primary |
Addresses
Primary practice location
Aa-17, Boulevard Monroig
Levitown
Toa Baja, PR 00949
Mailing address
PO Box 7383
San Juan, PUERTO RICO 00916
DO
Phone (787) 960-2327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23647 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1104266295",
"addresses": [
{
"country_code": "DO",
"country_name": "Dominican Republic",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "PO BOX 7383",
"city": "SAN JUAN",
"state": "PUERTO RICO",
"postal_code": "00916",
"telephone_number": "787-960-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AA-17, BOULEVARD MONROIG",
"address_2": "LEVITOWN",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00949",
"telephone_number": "787-960-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIR",
"first_name": "ROSA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-03",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "23647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.