Jose Rosa, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1502 Issued in FL

Practice address

Carr. 31 KM. 4.0
Naguabo, PR 00718

Phone

(787) 874-3152

NPI assigned

Jul 14, 2022

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jose.rosa.1@27228.direct.athenahealth.com

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.

• Puerto Rico Primary Care Mso, Inc. - CDT Luquillo

  • Emergency Care Clinic/Center
  • Luquillo, PR
  • NPI 1134873235
  Medicare reassignment NPD
• Puerto Rico Primary Care, Mso, Inc. - Laboratorio

  • Clinical Medical Laboratory
  • Luquillo, PR
  • NPI 1952055055
  NPD
• Patient Medical Center of Florida Inc

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1891206504

  General Practice

  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1326772484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SANTA ISIDRA 3",
            "address_2": "A-18, CALLE B",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-719-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 31 KM. 4.0",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-874-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15811-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116450600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra Ivelisse Rodriguez, PH
• Sharyjayleen Rodriguez, MSW
• Wilnarys Rodriguez, MD
• Jorge Roque
• Joseph Roque
• Maribella Rosa, PT
• Gladys Ruiz Rodriguez, P.T.A
• Nelson Ruiz-Febo, DMD
• Maria M Sanchez, P.T.
• Victor J. Santiago, R.PH.

• General Practice Physician in Naguabo, PR
• Providers in Naguabo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.