Active NPI
Edwin Gabriel Rosado Hernandez, M.D.
- Orthopaedic Surgery Physician
- Hato Rey, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 22339
- Practice address
- 576 Ave Csar Gonzlez
Suite 506
Hato Rey, PR 00918 - Phone
- (077) 877-7210
- NPI assigned
- Apr 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 13933 | PR | |
| Orthopaedic Surgery Physician | 207X00000X | 69031 | MN | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 69031 | MN | |
| Orthopaedic Trauma Physician | 207XX0801X | 69031 | MN | |
| Orthopaedic Surgery Physician | 207X00000X | 22339 | PR | Primary |
Addresses
Primary practice location
576 Ave Csar Gonzlez
Suite 506
Hato Rey, PR 00918
Mailing address
576 Ave Cesar Gonzalez
Suite 506
San Juan, PR 00918-3758
Other practice location 1
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-2005
Other practice location 2
Bo Monacillos
University District Hospital-Puerto Rico Medical Center
San Juan, PR 00935-0001
Phone (787) 754-0101
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220415000234 | PR | Practitioner - Orthopedic Surgery | 8224438619 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Puerto Rico School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
576 Calle Cesar Gonzalez
Suite 506
San Juan, PR 00918-3758
Phone (787) 772-1007
Hospital & facility affiliations
- Auxilio Mutuo Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 26 |
| Knee replacement | 63 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13933 | PR | MD | Family Medicine Physician |
| 69031 | MN | MD | Orthopaedic Surgery Physician |
| 22339 | PR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Vita LLC | Current | Accepting new patients | |
| RJR & Co., PSC | Adult Reconstructive Orthopaedic Surgery | Current | Accepting new patients |
Locations
576 Calle Cesar Gonzalez
Ste 506
San Juan, PR 00918
Phone (787) 646-4110
Interoperability endpoints
- edwin.rosadohernandez@2148.securemail.prognocis.com
- edwin.rosadohernandez.p1@direct.vitacare.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- San Juan, PR
- NPI 1922944933
-
- Adult Reconstructive Orthopaedic Surgery Physician
- San Juan, PR
- NPI 1356465967
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1134515091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 AVE CESAR GONZALEZ",
"address_2": "SUITE 506",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 AVE CSAR GONZLEZ",
"address_2": "SUITE 506",
"city": "HATO REY",
"state": "PR",
"postal_code": "00918",
"telephone_number": "077-877-7210"
}
],
"practiceLocations": [
{
"address_1": "640 Jackson St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012502",
"country_code": "US",
"telephone_number": "651-254-2005",
"fax_number": "651-254-1519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Bo Monacillos",
"address_2": "University District Hospital-Puerto Rico Medical Center",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009350001",
"country_code": "US",
"telephone_number": "787-754-0101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSADO HERNANDEZ",
"first_name": "EDWIN",
"middle_name": "GABRIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-07",
"last_updated": "2022-08-25",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PR",
"license": "13933",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "69031",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "MN",
"license": "69031",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "MN",
"license": "69031",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PR",
"license": "22339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.