Active NPI
Carmen Gilda Del Rosario, DMD
- Dentist
- Bayamon, PR
National Provider Identifier
1174675888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1664
- Practice address
- 24-Sur A5
Villas de Santa Juanita
Bayamon, PR 00956 - Phone
- (787) 787-8605
- NPI assigned
- Jan 16, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1664 | PR | Primary |
Addresses
Primary practice location
24-Sur A5
Villas de Santa Juanita
Bayamon, PR 00956
Mailing address
50 Ave a Apt 106
Cond. Quinta Baldwin
Bayamon, PR 00959-8789
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 |
|---|---|---|---|
| 1664 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174675888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 AVE A APT 106",
"address_2": "COND. QUINTA BALDWIN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009598789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24-SUR A5",
"address_2": "VILLAS DE SANTA JUANITA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-787-8605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL ROSARIO",
"first_name": "CARMEN",
"middle_name": "GILDA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "1664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.