Individual provider Active NPI

Carmen Suarez Rosado, AUD

  • Assistive Technology Supplier Audiologist
  • San Juan, PR
National Provider Identifier
1306931217
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X
License
000532 Issued in PR
Practice address
1627 Ave Jesus T Pinero
San Juan, PR 00920-5407
Phone
(787) 792-0760
Fax
(787) 792-0635
NPI assigned
Oct 4, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiology Assistant 2355A2700X
Assistive Technology Supplier Audiologist 231HA2500X 000532 PR Primary

Addresses

Primary practice location

1627 Ave Jesus T Pinero
San Juan, PR 00920-5407

Mailing address

PO Box 1808
Cayey, PR 00737
Phone (787) 792-0760

Other practice location 1

652 San Patricio Avenue
Urbanizacion Summit Hills
Rio Pieddras, PR 00920
Phone (787) 792-0760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000979 PR Practitioner - Qualified Audiologist 7719914985 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
532PRMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Otorrinolaringologico de PR CSP Audiologist CurrentSince Apr 17, 2018 Accepting new patients
Southwest Chiropractic LLC PastSince Nov 27, 2022 Accepting new patients

Locations

1845 Carr 2
Ste 105
Bayamon, PR 00959

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306931217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1808",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-792-0760",
            "fax_number": "787-792-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 AVE JESUS T PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009205407",
            "telephone_number": "787-792-0760",
            "fax_number": "787-792-0635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "652 SAN PATRICIO AVENUE",
            "address_2": "URBANIZACION SUMMIT HILLS",
            "address_purpose": "LOCATION",
            "city": "RIO PIEDDRAS",
            "state": "PR",
            "postal_code": "00920",
            "country_code": "US",
            "telephone_number": "787-792-0760",
            "fax_number": "787-792-0635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ ROSADO",
        "first_name": "CARMEN",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "PR",
            "license": "000532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.