Individual provider Active NPI

Rosan Nieves Borges, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1194498998
Registry record updated Apr 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22429 Issued in PR
Practice address
Carr 796 KM 0.8 Bo. Rio Canas
Caguas, PR 00725
Phone
(939) 633-8858
Fax
(606) 777-7989
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2023

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 22429 PR Primary

Addresses

Primary practice location

Carr 796 KM 0.8 Bo. Rio Canas
Caguas, PR 00725

Mailing address

HC 6 Box 75382
Caguas, PR 00725-9514
Phone (939) 633-8858

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
I20211006002057 PR Practitioner - General Practice 8527466481 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Ambulatory Services Inc. CurrentSince Sep 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rosan.nievesborges@4048.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682121600000",
    "number": "1194498998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 75382",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259514",
            "telephone_number": "939-633-8858",
            "fax_number": "606-777-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 796 KM 0.8 BO. RIO CANAS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "939-633-8858",
            "fax_number": "606-777-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES BORGES",
        "first_name": "ROSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2023-04-22",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.