Active NPI
Rosa M Sobrino, DDS
- Dentist
- Guayama, PR
National Provider Identifier
1194892653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1956
- Practice address
- A Calimano #25 Sur
Esquina E Gonzalez
Guayama, PR 00785 - Phone
- (787) 864-0615
- Fax
- (787) 864-5606
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1956 | PR | Primary |
Addresses
Primary practice location
A Calimano #25 Sur
Esquina E Gonzalez
Guayama, PR 00785
Mailing address
PO Box 1777
Guayama, PR 00785
Phone (787) 864-0615
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041551 | Other | CRUZ AZUL | |
| 7850002 | Other | HUMANA HEALTH PLAN | |
| 26553 | Other | AMERICAN HEALTH PLAN | |
| 3209 | Other | INTERNATIONAL MEDICAL CAR | |
| 206111 | Other | PREFERRED | |
| 41797 | Other | TRIPLE S |
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 |
|---|---|---|---|
| 1956 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194892653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1777",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00785",
"telephone_number": "787-864-0615",
"fax_number": "787-864-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A CALIMANO #25 SUR",
"address_2": "ESQUINA E GONZALEZ",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00785",
"telephone_number": "787-864-0615",
"fax_number": "787-864-5606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBRINO",
"first_name": "ROSA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "1956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "041551",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH PLAN",
"identifier": "7850002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH PLAN",
"identifier": "26553",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CAR",
"identifier": "3209",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED",
"identifier": "206111",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "41797",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Guayama, 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.