Individual provider Active NPI

Juan F Perez Rosado, M.D.

  • Internal Medicine Physician
  • Morovis, PR
National Provider Identifier
1487673307
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12134 Issued in PR
Practice address
Bo. Franquez Carr. 634 KM. 4.9
Morovis, PR 00687
Phone
(787) 594-4080
Fax
(787) 862-2309
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12134 PR Primary

Addresses

Primary practice location

Bo. Franquez Carr. 634 KM. 4.9
Morovis, PR 00687

Mailing address

P.O. Box 2188
Morovis, PR 00687-2188
Phone (787) 862-8254

Other identifiers 8

IdentifierTypeStateIssuer
32225OtherPRPROSSAM
89300OtherPRTRIPLE S INC. PROVIDER
061801OtherPRCRUZ AZUL PROVIDER
1856OtherPRPREFERRED MEDICARE CHOICE
212909OtherPRPREFERRED HEALTH PROVIDER
6740071OtherPRHUMANA PROVIDER
7755OtherPRINTERNATIONAL MEDICAL CAR
996216OtherPRMMM PROVIDER

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
I20041011000421 PR Practitioner - Internal Medicine 1355301748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Urb Atenas
Calle Hernandez Carrion Int 668
Manati, PR 00674
Phone (787) 621-3778

Hospital & facility affiliations

  • Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12134PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perez Internal Care PSC Internal Medicine CurrentSince May 5, 2012 Accepting new patients

Locations

E37 Calle Hernandez Carrion
Ste 203
Manati, PR 00674

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.

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1487673307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2188",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006872188",
            "telephone_number": "787-862-8254",
            "fax_number": "787-862-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. FRANQUEZ CARR. 634 KM. 4.9",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "00687",
            "telephone_number": "787-594-4080",
            "fax_number": "787-862-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ROSADO",
        "first_name": "JUAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSAM",
            "identifier": "32225",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S INC. PROVIDER",
            "identifier": "89300",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL PROVIDER",
            "identifier": "061801",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "1856",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PROVIDER",
            "identifier": "212909",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER",
            "identifier": "6740071",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "7755",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM PROVIDER",
            "identifier": "996216",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morovis, PR

Sources for this page

Verify at the official NPI Registry.