Individual provider Active NPI

Odrick Roberto Rosas, M.D., PH.D.

  • Physical Medicine & Rehabilitation Physician
  • Toa Alta, PR
National Provider Identifier
1477940500
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
21378 Issued in PR
Practice address
Calle 1, A1 Urb San Fernando
Toa Alta, PR 00954
Phone
(787) 870-8403
NPI assigned
Apr 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 21378 PR Primary

Addresses

Primary practice location

Calle 1, A1 Urb San Fernando
Toa Alta, PR 00954

Mailing address

PO Box 1041
Vega Alta, PR 00692-1041
Phone (939) 287-7553

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
I20200311000755 PR Practitioner - Physical Medicine and Rehabilitation 4082042767 Reassigns benefits to 5 organizations
Practice locations: Toa Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University Central del Caribe Escuela de Medicina, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle 1 A1 Urb San Fernando
Toa Alta, PR 00954
Phone (787) 870-8403

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21378PRMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince Jun 15, 2021 Accepting new patients
Salud Integral En la Montana, Inc. Current Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jun 15, 2021 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 15, 2021 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 15, 2021 Accepting new patients
Rosas Rehabilitation Pain and Sport Institute LLC CurrentSince Apr 30, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jun 15, 2021 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 15, 2021 Accepting new patients

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1477940500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1041",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006921041",
            "telephone_number": "939-287-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1, A1 URB SAN FERNANDO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00954",
            "telephone_number": "787-870-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAS",
        "first_name": "ODRICK",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "21378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

Verify at the official NPI Registry.