Individual provider Active NPI

Orlando Canizares Rosario, M.D.

  • Plastic and Reconstructive Surgery Physician
  • San Juan, PR
National Provider Identifier
1134485832
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
18881 Issued in PR
Practice address
400 Ave FD Roosevelt
Suite 412
San Juan, PR 00918-2103
Phone
(787) 949-5027
NPI assigned
Apr 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 18881 PR Primary

Addresses

Primary practice location

400 Ave FD Roosevelt
Suite 412
San Juan, PR 00918-2103

Mailing address

300 Ave la Sierra
Box 18
San Juan, PR 00926-4330
Phone (787) 949-5027

Other names 1

  • Orlando Canizares Other name

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
I20150817000556 PR Practitioner - Plastic and Reconstructive Surgery 9032424353 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18881PRMDPlastic and Reconstructive Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1134485832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVE LA SIERRA",
            "address_2": "BOX 18",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264330",
            "telephone_number": "787-949-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "SUITE 412",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-949-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANIZARES ROSARIO",
        "first_name": "ORLANDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PR",
            "license": "18881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ORLANDO",
            "last_name": "CANIZARES",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.