Individual provider Active NPI

Tania Ivette Diaz Rosado, MD

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1326569013
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22152 Issued in PR
Practice address
Cii Molinillo
Fernandez Juncos Avenue Bo. Pueblo
Carolina, PR 00985-0098
Phone
(787) 626-3322
NPI assigned
Jul 3, 2017
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 22152 PR Primary

Addresses

Primary practice location

Cii Molinillo
Fernandez Juncos Avenue Bo. Pueblo
Carolina, PR 00985-0098

Mailing address

Urb. Castellana Gardens C/30 GG8
Carolina, PR 00983
Phone (787) 550-4055

Other practice location 1

Carr 2 km 141.1 Avenida Severiano Cuevas
18 Caimital Bajo
Aguadilla, PR 00603
Phone (787) 658-0012

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022002265 PR Practitioner - General Practice 8325570864 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

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.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1326569013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. CASTELLANA GARDENS C/30 GG8",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-550-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CII MOLINILLO",
            "address_2": "FERNANDEZ JUNCOS AVENUE BO. PUEBLO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009850098",
            "telephone_number": "787-626-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 2 km 141.1 Avenida Severiano Cuevas",
            "address_2": "18 Caimital Bajo",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00603",
            "country_code": "US",
            "telephone_number": "787-658-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ ROSADO",
        "first_name": "TANIA",
        "middle_name": "IVETTE",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.