Active NPI
Guadalupe Renee Rosas, R.T.
- Radiologic Technologist
- Jemez Pueblo, NM
National Provider Identifier
1487890315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- RRT 3859
- Practice address
- 110 Sheep Springs Rd.
Jemez Pueblo, NM 87024 - Phone
- (575) 834-7413
- NPI assigned
- Dec 24, 2008
- Last updated
- Dec 24, 2008
- 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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | RRT 3859 | NM | Primary |
Addresses
Primary practice location
110 Sheep Springs Rd.
Jemez Pueblo, NM 87024
Mailing address
1748 Hudson River Rd NE
Rio Rancho, NM 87144-5517
Phone (505) 867-2616
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RRT 3859 | NM | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230076800000",
"number": "1487890315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1748 HUDSON RIVER RD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871445517",
"telephone_number": "505-867-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SHEEP SPRINGS RD.",
"city": "JEMEZ PUEBLO",
"state": "NM",
"postal_code": "87024",
"telephone_number": "575-834-7413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSAS",
"first_name": "GUADALUPE",
"middle_name": "RENEE",
"credential": "R.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-24",
"last_updated": "2008-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "NM",
"license": "RRT 3859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jemez Pueblo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.