Individual provider Active NPI

Juan Carlos Santa-Rosario, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Carolina, PR
National Provider Identifier
1467636852
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
17535 Issued in PR
Practice address
Ave Sanchez Vilella Esq PR 190
Plazoleta la Ceramica Suite 2-6
Carolina, PR 00983-1977
Phone
(855) 711-2673
Fax
(787) 710-7656
NPI assigned
Dec 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 17535 PR Primary

Addresses

Primary practice location

Ave Sanchez Vilella Esq PR 190
Plazoleta la Ceramica Suite 2-6
Carolina, PR 00983-1977

Mailing address

PO Box 3376
Carolina, PR 00984-3376
Phone (855) 711-2673

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
I20160810001122 PR Order and Referring Only - PathologyPractitioner - Pathology 2163601030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17535PRMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1467636852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3376",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843376",
            "telephone_number": "855-711-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SANCHEZ VILELLA ESQ PR 190",
            "address_2": "PLAZOLETA LA CERAMICA SUITE 2-6",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831977",
            "telephone_number": "855-711-2673",
            "fax_number": "787-710-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA-ROSARIO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "17535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.