Individual provider Active NPI

Edwin Gabriel Rosado Hernandez, M.D.

  • Orthopaedic Surgery Physician
  • Hato Rey, PR
National Provider Identifier
1134515091
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
22339 Issued in PR
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

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, San Juan, PR, CCN 400016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement26
Knee replacement63
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13933PRMDFamily Medicine Physician
69031MNMDOrthopaedic Surgery Physician
22339PRMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Vita LLC CurrentSince May 1, 2026 Accepting new patients
RJR & Co., PSC Adult Reconstructive Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients

Locations

576 Calle Cesar Gonzalez
Ste 506
San Juan, PR 00918
Phone (787) 646-4110

Interoperability endpoints

  • Direct secure messaging: edwin.rosadohernandez@2148.securemail.prognocis.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.