Active NPI
Walter Rosich, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1477630465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5435
- Practice address
- C8 S817
Villas de Parana
San Juan, PR 00926-6131 - Phone
- (787) 272-6612
- Fax
- (787) 272-6612
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5435 | PR | Primary |
Addresses
Primary practice location
C8 S817
Villas de Parana
San Juan, PR 00926-6131
Mailing address
PO Box 1570
Valle Arriba HTS Sta
Carolina, PR 00984-1570
Phone (787) 717-0099
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3354 | Other | AM HEALTH CARE | |
| 065306 | Other | CRUZ AZUL | |
| 26373 | Other | TRIPLE S |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080422000857 | PR | Practitioner - General Practice | 5597843169 | Practice locations: Carolina, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 TR Ave Sanchez Osorio
Villa Fontana
Carolina, PR 00983-3205
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5435 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477630465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1570",
"address_2": "VALLE ARRIBA HTS STA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009841570",
"telephone_number": "787-717-0099",
"fax_number": "787-272-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C8 S817",
"address_2": "VILLAS DE PARANA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266131",
"telephone_number": "787-272-6612",
"fax_number": "787-272-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSICH",
"first_name": "WALTER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "5435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AM HEALTH CARE",
"identifier": "3354",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "065306",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "26373",
"state": null
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.