Individual provider Active NPI

Rosa Luz Michel, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1396816062
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8465 Issued in PR
Practice address
19 Severiano Cuevas
Suite 1
Aguadilla, PR 00603-5703
Phone
(787) 891-7080
Fax
(787) 891-7080
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 8465 PR Primary

Addresses

Primary practice location

19 Severiano Cuevas
Suite 1
Aguadilla, PR 00603-5703

Mailing address

19 Severiano Cuevas
Suite 1
Aguadilla, PR 00603-5703
Phone (787) 891-7080

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
I20120822000281 PR Practitioner - General Practice 0840447108 Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Ave Severiano Cuevas
Aguadilla, PR 00603-5713
Phone (787) 891-7080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8464PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396816062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SEVERIANO CUEVAS",
            "address_2": "SUITE 1",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035703",
            "telephone_number": "787-891-7080",
            "fax_number": "787-891-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SEVERIANO CUEVAS",
            "address_2": "SUITE 1",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035703",
            "telephone_number": "787-891-7080",
            "fax_number": "787-891-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "ROSA",
        "middle_name": "LUZ",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.