Individual provider Active NPI

Rafael E Rosario Amador, M.D.

  • Nephrology Physician
  • Bayamon, PR
National Provider Identifier
1134519275
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
21336 Issued in PR
Practice address
Pro-Health Clinical Services
Bayamon Health Center 2ND Floor, Calle Manuel Rossi
Bayamon, PR 00961
Phone
(787) 269-6590
NPI assigned
Jan 28, 2015
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 21336 PR Primary
General Practice Physician 208D00000X 13629I PR

Addresses

Primary practice location

Pro-Health Clinical Services
Bayamon Health Center 2ND Floor, Calle Manuel Rossi
Bayamon, PR 00961

Mailing address

Urb. Quintas Reales
Calle Rey Enrique VIII, R1
Guaynabo, PR 00969
Phone (787) 502-8655

Other practice location 1

Ave Ponce De Leon
Hospital Auxilio Mutuo
San Juan, PR 00907-3907
Phone (787) 758-2000 ext. 2216

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
I20201015002836 PR Practitioner - NephrologyPractitioner - Internal Medicine 7214276245 Reassigns benefits to 1 organization
Practice locations: Las Marias, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Health Clinical Services LLCGroup PAC ID 1759692478, 21 clinicians

Practice addresses (Care Compare)

Edificio 36 Calle Barbosa
Esquina Rosy
Bayamon, PR 00960
Phone (787) 269-6590

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13629IPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Health Clinical Services LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

36 Calle Barbosa
Bayamon, PR 00961

Interoperability endpoints

  • Direct secure messaging: rafael.rosarioamador@3937.securemail.prognocis.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1134519275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. QUINTAS REALES",
            "address_2": "CALLE REY ENRIQUE VIII, R1",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-502-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRO-HEALTH CLINICAL SERVICES",
            "address_2": "BAYAMON HEALTH CENTER 2ND FLOOR, CALLE MANUEL ROSSI",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-269-6590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave Ponce De Leon",
            "address_2": "Hospital Auxilio Mutuo",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009073907",
            "country_code": "US",
            "telephone_number": "787-758-2000 x2216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSARIO AMADOR",
        "first_name": "RAFAEL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-28",
        "last_updated": "2021-03-09",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "21336",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13629I",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.