Organization Active NPI

Humberto Rosado Medical, PLLC

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1386961563
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19978 Issued in AZ
Legal business name
HUMBERTO ROSADO MEDICAL, PLLC
Practice address
1763 W. 24TH St.
Suite 102
Yuma, AZ 85364-6219
Phone
(928) 247-9162
Fax
(928) 247-9164
NPI assigned
Apr 27, 2010
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Humberto Rosado Jr., M.D.NPI 1538170741
Title
President
Phone
(928) 247-9162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 19978 AZ Primary

Addresses

Primary practice location

1763 W. 24TH St.
Suite 102
Yuma, AZ 85364-6219

Mailing address

1763 W. 24TH St.
Suite 102
Yuma, AZ 85364-6219
Phone (928) 247-9162

National Provider Directory

National Provider Directory

Locations

1763 W 24th St
Ste 102
Yuma, AZ 85364
Phone (928) 247-9162

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1386961563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 W. 24TH ST.",
            "address_2": "SUITE 102",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646219",
            "telephone_number": "928-247-9162",
            "fax_number": "928-247-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 W. 24TH ST.",
            "address_2": "SUITE 102",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646219",
            "telephone_number": "928-247-9162",
            "fax_number": "928-247-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBERTO ROSADO MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-247-9162",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "19978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.