Active NPI
Lexter Rosario Sanjurjo I, PHD
- Psychologist
- Loiza, PR
National Provider Identifier
1275752149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2363
- Practice address
- Carr. 188-JNT 187 Loiza
Loiza, PR 00772 - Phone
- (787) 876-2042
- Fax
- (787) 876-2003
- NPI assigned
- Apr 25, 2007
- Last updated
- Mar 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Psychologist | 103T00000X | 2363 | PR | Primary |
Addresses
Primary practice location
Carr. 188-JNT 187 Loiza
Loiza, PR 00772
Mailing address
721 Calle Hernandez
Cond. Miramar Towers Apt 12-C
San Jaun, PR 00907
Phone (787) 310-2604
Other names 1
- Mr. Lexter Rosario I
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2363 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concilio de Salud Integral de Loiza, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Loiza, PR
- NPI 1558664102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1275752149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 CALLE HERNANDEZ",
"address_2": "COND. MIRAMAR TOWERS APT 12-C",
"city": "SAN JAUN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-310-2604",
"fax_number": "787-876-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 188-JNT 187 LOIZA",
"city": "LOIZA",
"state": "PR",
"postal_code": "00772",
"telephone_number": "787-876-2042",
"fax_number": "787-876-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO SANJURJO",
"first_name": "LEXTER",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "2363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEXTER",
"last_name": "ROSARIO",
"prefix": "MR.",
"suffix": "I",
"credential": "MA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Loiza, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.