Individual provider Active NPI

Jaime R. Rosado Munoz, M.D., M.P.H.

  • Pediatric Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1326042193
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
12213 Issued in PR
Practice address
735 Ponce de Leon Ave
Ste 818
San Juan, PR 00917-5031
Phone
(787) 758-0744
Fax
(787) 765-6593
NPI assigned
Jun 9, 2005
Last updated
Mar 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 12213 PR Primary

Addresses

Primary practice location

735 Ponce de Leon Ave
Ste 818
San Juan, PR 00917-5031

Mailing address

Torre Auxilio Mutuo
735 Ponce de Leon Ave.,Suite. 818
San Juan, PR 00917-5031
Phone (787) 758-0744

Other identifiers 1

IdentifierTypeStateIssuer
12213OtherPRSTATE LICENSE

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
12213PRMDPediatric Gastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1326042193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TORRE AUXILIO MUTUO",
            "address_2": "735 PONCE DE LEON AVE.,SUITE. 818",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175031",
            "telephone_number": "787-758-0744",
            "fax_number": "787-765-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PONCE DE LEON AVE",
            "address_2": "STE 818",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175031",
            "telephone_number": "787-758-0744",
            "fax_number": "787-765-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO MUNOZ",
        "first_name": "JAIME",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PR",
            "license": "12213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12213",
            "state": "PR"
        }
    ],
    "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 23, 2009; 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.