Individual provider Active NPI

Christian Rosado Paso, MD

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1134865876
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23500 Issued in PR
Practice address
Carr 867 KM 2 Ave. Juan Picolino Hernandez Ferrer
Toa Baja, PR 00950
Phone
(787) 650-0020
NPI assigned
May 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 23500 PR
General Practice Physician 208D00000X 23500 PR Primary

Addresses

Primary practice location

Carr 867 KM 2 Ave. Juan Picolino Hernandez Ferrer
Toa Baja, PR 00950

Mailing address

Carr 867 KM2
Ave. Juan Picolino Hernandez Ferrer
Toa Baja, PR 00950

Other practice location 1

572 Calle De Diego
San Juan, PR 00924-3815
Phone (787) 631-7513

Other practice location 2

1107 C. Monsenor William Jones
San Juan, PR 00925-0092
Phone (787) 764-8018

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
I20231229000004 PR Practitioner - General Practice 6901256213 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Sabana Seca Int
867 Metro Pavia Clinic Toa Baja Sala de Eme
Toa Baja, PR 00951
Phone (787) 784-1782

Hospital & facility affiliations

  • Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Hospice, Ponce, PR, CCN 401530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23500PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Toa Baja, Inc. CurrentSince Jul 29, 2024 Accepting new patients
Metro Toa Baja, Inc. CurrentSince Jul 29, 2024 Accepting new patients

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1134865876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 867 KM2",
            "address_2": "AVE. JUAN PICOLINO HERNANDEZ FERRER",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 867 KM 2 AVE. JUAN PICOLINO HERNANDEZ FERRER",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00950",
            "telephone_number": "787-650-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "572 Calle De Diego",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009243815",
            "country_code": "US",
            "telephone_number": "787-631-7513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 C. Monsenor William Jones",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009250092",
            "country_code": "US",
            "telephone_number": "787-764-8018",
            "fax_number": "787-763-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSADO PASO",
        "first_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PR",
            "license": "23500",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.