Elsimarie Rosa-Hernandez, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

3169 Issued in PR

Practice address

Via Arcoiris Ave, Urb.Pacifica,Encantada
Pg132
Trujillo Alto, PR 00976-6155

Phone

(787) 642-2676

NPI assigned

May 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Neomed Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
  • NPI 1790776334

  Dentist

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Barranquitas, PR
  • NPI 1316970833
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Comerio, PR
  • NPI 1275556946
  Medicare reassignment
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Naranjito, PR
  • NPI 1578586244
  Medicare reassignment
• Neomed Center, Inc

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1518286962
  NPD
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naguabo, PR
  • NPI 1093357337
  NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1740772102

  General Practice

  NPD
• Salud Integral En la Montana, Inc.

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD
• Cossma Inc

  • Primary Care Clinic/Center
  • Cidra, PR
  • NPI 1437235793
  NPD (past)

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1235498981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VIA ARCOIRIS AVE, URB.PACIFICA,ENCANTADA",
            "address_2": "PG132",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766155",
            "telephone_number": "787-642-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIA ARCOIRIS AVE, URB.PACIFICA,ENCANTADA",
            "address_2": "PG132",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766155",
            "telephone_number": "787-642-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA-HERNANDEZ",
        "first_name": "ELSIMARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3169",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Roman, OD
• Sandra Romero, R.D.
• Wilmary Rosa - Castro
• Rafael A Rosa Perez Sr., MD
• Yvette Rosa Velez, OD
• Francisco Rosa
• Melissa Rosa, PH.D IN PSYCHOLOGY
• Carmen Rosado
• Jonathan Rosado, MS
• Myrtelina Rosado

• Dentist in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.