Luis Antonio Rosa Jr.

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

2114 Ridgemore Dr
Valrico, FL 33594-3200

Phone

(941) 586-3031

NPI assigned

Apr 29, 2017

Last updated

Apr 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493424000000",
    "number": "1114452919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 RIDGEMORE DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 RIDGEMORE DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943200",
            "telephone_number": "941-586-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-29",
        "last_updated": "2017-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Rog, MD
• Diandra Roman Mercado
• Amber Nicole Fogarty Roman, DC
• Elyse Romano, ATC, LAT
• Ronnie Grubbs Psy D PA
• Rose Garden Healthcare Group LLC
• David L Rosenau, PHARMD
• Barbara Jeanne Ross
• Gabriela Ruiz Perez
• Sonia Margarita Ruiz, MD

• Contractor in Valrico, FL
• Providers in Valrico, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2017; 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.