Individual provider Active NPI

Betzaida Rosado, M.D.

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1275729725
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11320 Issued in PR
Practice address
420 Calle Flamboyan
Urb. Los Sauces
Humacao, PR 00791-4908
Phone
(787) 850-5843
NPI assigned
Sep 19, 2007
Last updated
Sep 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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 11320 PR Primary

Addresses

Primary practice location

420 Calle Flamboyan
Urb. Los Sauces
Humacao, PR 00791-4908

Mailing address

420 Calle Flamboyan
Urb. Los Sauces
Humacao, PR 00791-4908
Phone (787) 850-5843

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11320PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1275729725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CALLE FLAMBOYAN",
            "address_2": "URB. LOS SAUCES",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914908",
            "telephone_number": "787-850-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CALLE FLAMBOYAN",
            "address_2": "URB. LOS SAUCES",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914908",
            "telephone_number": "787-850-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "BETZAIDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.