Individual provider Active NPI

Rosario Rey Laborde, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1356328561
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
016121 Issued in PR
Practice address
Hospital Pavia
Calle Profesor Augusto # 1462
San Juan, PR 00910-0000
Phone
(787) 641-1616
Fax
(787) 728-2641
NPI assigned
Dec 29, 2005
Last updated
Jan 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 016121 PR Primary

Addresses

Primary practice location

Hospital Pavia
Calle Profesor Augusto # 1462
San Juan, PR 00910-0000

Mailing address

Urb Plaza de la Fuente
1199 Calle Brazil
Toa Alta, PR 00953-0000
Phone (787) 903-1444

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
I20060116000178 PR Practitioner - General Practice 9335163583 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016121PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1356328561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PLAZA DE LA FUENTE",
            "address_2": "1199 CALLE BRAZIL",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009530000",
            "telephone_number": "787-903-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL PAVIA",
            "address_2": "CALLE PROFESOR AUGUSTO # 1462",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100000",
            "telephone_number": "787-641-1616",
            "fax_number": "787-728-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REY LABORDE",
        "first_name": "ROSARIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "016121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.