Active NPI
Rosa L. Haddock-de-Jesus, M.D.
- Pediatric Critical Care Medicine Physician
- San Juan, PR
National Provider Identifier
1447699020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 019292
- Practice address
- Hospital Pediatrico Dr Antonio Ortiz
Bo. Monacillos St. 22 Puerto Rico Medical Center
San Juan, PR 00935-0001 - Phone
- (787) 777-3535
- NPI assigned
- Jun 17, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 019292 | PR | Primary |
Addresses
Primary practice location
Hospital Pediatrico Dr Antonio Ortiz
Bo. Monacillos St. 22 Puerto Rico Medical Center
San Juan, PR 00935-0001
Mailing address
HC 2 Box 14772
Gurabo, PR 00778-9808
Phone (787) 688-0691
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019292 | PR | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Departamento de Salud Oficial | 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.
-
dba Hospital Pediatrico Universitario
- Children's Hospital
- Rio Piedras, PR
- NPI 1174678460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1447699020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 14772",
"city": "GURABO",
"state": "PR",
"postal_code": "007789808",
"telephone_number": "787-688-0691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL PEDIATRICO DR ANTONIO ORTIZ",
"address_2": "BO. MONACILLOS ST. 22 PUERTO RICO MEDICAL CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009350001",
"telephone_number": "787-777-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDOCK-DE-JESUS",
"first_name": "ROSA",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PR",
"license": "019292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.