Active NPI
Anthony Rosado-Ruel, MSW
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1437673449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5776 Saint Augustine Rd
Jacksonville, FL 32207-8030 - Phone
- (904) 448-4700
- NPI assigned
- Aug 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 31104991 | PR | |
| Clinical Social Worker | 1041C0700X | FL | Primary |
Addresses
Primary practice location
5776 Saint Augustine Rd
Jacksonville, FL 32207-8030
Mailing address
PO Box 8730
San Juan, PR 00910-0730
Other practice location 1
700 calle Doctor Pavia Fernandez suite 301
301
San Juan, PR 00909
Phone (787) 497-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31104991 | Other | PR | PREVENTION |
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 |
|---|---|---|---|
| 31104991 | PR | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Ararat 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 Juan, PR
- NPI 1962946426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1437673449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8730",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009100730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5776 SAINT AUGUSTINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078030",
"telephone_number": "904-448-4700"
}
],
"practiceLocations": [
{
"address_1": "700 calle Doctor Pavia Fernandez suite 301",
"address_2": "301",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00909",
"country_code": "US",
"telephone_number": "787-497-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSADO-RUEL",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "PR",
"license": "31104991",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREVENTION",
"identifier": "31104991",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.