Individual provider Active NPI

Sandra I Rosado Medina, M.D.

  • General Practice Physician
  • Toa Alta, PR
National Provider Identifier
1366639205
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16900 Issued in PR
Practice address
Carr 861
Bo. Pinas Sector El Siete
Toa Alta, PR 00953-8528
Phone
(787) 399-9368
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 16900 PR Primary

Addresses

Primary practice location

Carr 861
Bo. Pinas Sector El Siete
Toa Alta, PR 00953-8528

Mailing address

1009 Calle Reyna Mora
Hacienda El Pilar
Toa Alta, PR 00953-9420
Phone (787) 399-9368

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
I20100715000943 PR Practitioner - General Practice 3779615406 Reassigns benefits to 5 organizations
Practice locations: Toa Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Integral En la Montana IncGroup PAC ID 8527972827, shared by 11 NPIs, 64 clinicians

Practice addresses (Care Compare)

Carr 891 KM
1 Bo Pueblo
Corozal, PR 00783-2441
Phone (787) 859-2560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16900PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc General Practice CurrentSince May 6, 2018 Accepting new patients
Salud Integral En la Montana, Inc. General Practice Current Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince May 6, 2018 Accepting new patients
Salud Integral En la Montana, Inc General Practice CurrentSince Sep 29, 2022 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince May 6, 2018 Accepting new patients
Salud Integral En la Montana, Inc Past Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1366639205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 CALLE REYNA MORA",
            "address_2": "HACIENDA EL PILAR",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009539420",
            "telephone_number": "787-399-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 861",
            "address_2": "BO. PINAS SECTOR EL SIETE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009538528",
            "telephone_number": "787-399-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO MEDINA",
        "first_name": "SANDRA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

Verify at the official NPI Registry.