Active NPI
Jetsybell Rosario, PHL
- Speech-Language Pathologist
- Bayamon, PR
National Provider Identifier
1366818932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003029
- Practice address
- FF1 Calle 18, Ave Teniente Nelson Martinez
Alturas de Flamboyan
Bayamon, PR 00956 - Phone
- (787) 487-8006
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003029 | PR | Primary |
Addresses
Primary practice location
FF1 Calle 18, Ave Teniente Nelson Martinez
Alturas de Flamboyan
Bayamon, PR 00956
Mailing address
FF1 Calle 18, Ave Teniente Nelson Martinez
Alturas de Flamboyan
Bayamon, PR 00956
Phone (787) 487-8006
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003029 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1366818932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FF1 CALLE 18, AVE TENIENTE NELSON MARTINEZ",
"address_2": "ALTURAS DE FLAMBOYAN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-487-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FF1 CALLE 18, AVE TENIENTE NELSON MARTINEZ",
"address_2": "ALTURAS DE FLAMBOYAN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-487-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "JETSYBELL",
"credential": "PHL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "003029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.