Active NPI
Rosemarie Fischbach, D.M.D.
- General Practice Dentistry
- Rio Grande, PR
National Provider Identifier
1164520177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30973
- Practice address
- Carr #3 KM 21 Suite 2
Marginal la Dolores
Rio Grande, PR 00745 - Phone
- (787) 863-8440
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1722 | PR | |
| General Practice Dentistry | 1223G0001X | 30973 | TX | Primary |
Addresses
Primary practice location
Carr #3 KM 21 Suite 2
Marginal la Dolores
Rio Grande, PR 00745
Mailing address
PO Box 2017
Ceiba, PR 00735
Phone (787) 863-8440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41589 FI | Other | PR | TRIPLE-S PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30973 | TX | MD | Clinical Social Worker |
| 1722 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Cosmetic Dental Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Rio Grande, PR
- NPI 1326381815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1164520177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2017",
"city": "CEIBA",
"state": "PR",
"postal_code": "00735",
"telephone_number": "787-863-8440",
"fax_number": "787-885-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR #3 KM 21 SUITE 2",
"address_2": "MARGINAL LA DOLORES",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "787-863-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHBACH",
"first_name": "ROSEMARIE",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "1722",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S PROVIDER NUMBER",
"identifier": "41589 FI",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.