Active NPI
Gladynette Rosario, M.D.
- General Practice Physician
- Carolina, PR
National Provider Identifier
1205822731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16005
- Practice address
- Galerias de Escorial Shopp. Center
5725 Blvd. Media Luna Suite 5
Carolina, PR 00987-3515 - Phone
- (787) 579-6490
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16005 | PR | Primary |
Addresses
Primary practice location
Galerias de Escorial Shopp. Center
5725 Blvd. Media Luna Suite 5
Carolina, PR 00987-3515
Mailing address
PO Box 1893
Carolina, PR 00984-1893
Phone (787) 769-6684
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051013000319 | PR | Practitioner - General Practice | 4385669837 | Practice locations: Carolina, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4002 Ave Sur Apto
1402 Cond Torres de Escorial
Carolina, PR 00987
5725 Blvd Media Luna
Carolina, PR 00987-5198
Phone (787) 769-6684
PO Box
Suite 1893
Carolina, PR 00984-1893
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1205822731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1893",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009841893",
"telephone_number": "787-769-6684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GALERIAS DE ESCORIAL SHOPP. CENTER",
"address_2": "5725 BLVD. MEDIA LUNA SUITE 5",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009873515",
"telephone_number": "787-579-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "GLADYNETTE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.