Individual provider Active NPI

Karyssa Joandis Rosa, M.D.

  • General Practice Physician
  • Salinas, PR
National Provider Identifier
1194312793
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22122 Issued in PR
Practice address
Baldorioty St 56
Salinas, PR 00751
Phone
(787) 558-7888
Fax
(787) 824-7242
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22122 PR Primary

Addresses

Primary practice location

Baldorioty St 56
Salinas, PR 00751

Mailing address

PO Box 276
Salinas, PR 00751-0276
Phone (787) 558-7888

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
I20210528000493 PR Practitioner - General Practice 5698186807 Practice locations: Salinas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Baldorioty St
Suite 56
Salinas, PR 00751
Phone (787) 558-7888

PO Box
Suite 276
Salinas, PR 00751

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group a&K Inc General Practice CurrentSince Jan 3, 2021 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1194312793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007510276",
            "telephone_number": "787-558-7888",
            "fax_number": "787-824-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BALDORIOTY ST 56",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-558-7888",
            "fax_number": "787-824-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "KARYSSA",
        "middle_name": "JOANDIS",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, PR

Sources for this page

Verify at the official NPI Registry.