Individual provider Active NPI

Emmanuel Bobe Rosario, M.D.

  • General Practice Physician
  • Toa Alta, PR
National Provider Identifier
1215163589
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17403 Issued in PR
Practice address
1543 Calle Portofino
Urbanizacion Fuentebella
Toa Alta, PR 00953
Phone
(787) 449-3183
NPI assigned
Jun 1, 2009
Last updated
Aug 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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 17403 PR Primary

Addresses

Primary practice location

1543 Calle Portofino
Urbanizacion Fuentebella
Toa Alta, PR 00953

Mailing address

1543 Calle Portofino
Urbanizacion Fuentebella
Toa Alta, PR 00953
Phone (787) 449-3183

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
I20091005000302 PR Practitioner - General Practice 5597801654 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
ER Specialized Care LLC CurrentSince Oct 7, 2017 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Jan 20, 2013 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jan 20, 2013 Accepting new patients
SPM Doctors Services Group PSC Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1215163589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 CALLE PORTOFINO",
            "address_2": "URBANIZACION FUENTEBELLA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-449-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 CALLE PORTOFINO",
            "address_2": "URBANIZACION FUENTEBELLA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-449-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBE ROSARIO",
        "first_name": "EMMANUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

Verify at the official NPI Registry.