Active NPI
Idis L Rosado
- Pharmacist
- San Sebastian, PR
National Provider Identifier
1396874756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1887
- Practice address
- 10 Calle Munoz Rivera
San Sebastian, PR 00685-2250 - Phone
- (787) 896-1115
- NPI assigned
- Mar 3, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1887 | PR | Primary |
Addresses
Primary practice location
10 Calle Munoz Rivera
San Sebastian, PR 00685-2250
Mailing address
PO Box 27
San Sebastian, PR 00685-0027
Phone (787) 896-1115
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 |
|---|---|---|---|
| 1887 | PR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosado del Rio Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- San Sebastian, PR
- NPI 1831251131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396874756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006850027",
"telephone_number": "787-896-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE MUNOZ RIVERA",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006852250",
"telephone_number": "787-896-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "IDIS",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "1887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.