Individual provider Active NPI

Laura Andrea Rosado Gonzalez, MD

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1104437136
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22777 Issued in PR
Practice address
Paseo Los Robles, Los Caminos
#1805
Mayaguez, PR 00682
Phone
(787) 237-7739
NPI assigned
Aug 13, 2020
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15607-I PR
General Practice Physician 208D00000X 22777 PR Primary

Addresses

Primary practice location

Paseo Los Robles, Los Caminos
#1805
Mayaguez, PR 00682

Mailing address

PO Box 345
Anasco, PR 00610-0345

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lau.andrea66md@gmail.com

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15607-IPRMDInternal Medicine Physician
22777PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1104437136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 345",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO LOS ROBLES, LOS CAMINOS",
            "address_2": "#1805",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-237-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO GONZALEZ",
        "first_name": "LAURA",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15607-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lau.andrea66md@gmail.com",
            "affiliation": "N",
            "address_1": "Paseo Los Robles, Los Caminos",
            "address_2": "#1805",
            "city": "Mayaguez",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.