Sandra Ivelisse Rosa, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9334 Issued in PR

Practice address

99 Guillermo Riefkhol Street
Patillas, PR 00723-0000

Phone

(787) 839-4320

Fax

(787) 271-0004

NPI assigned

Mar 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Centro Servicios Primarios de Salud de Patillas Inc.

  • Land Ambulance
  • Patillas, PR
  • NPI 1164532792
  NPD (past)
• Centro Servicios Primarios de Salud de Patillas Inc.

  • Radiology Clinic/Center
  • Patillas, PR
  • NPI 1366654337
  NPD (past)

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1497098560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BARRIO CACAO BAJO SECTOR TUNEL SABANA",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230000",
            "telephone_number": "939-274-4278",
            "fax_number": "787-271-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 GUILLERMO RIEFKHOL STREET",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230000",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "SANDRA",
        "middle_name": "IVELISSE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "9334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Margarita Rodriguez, LPN
• Mirella Rodriguez, M.D.
• Karol M Roig
• Modomi J. Roman Lebron
• Iselle Marie Rosa Santiago, RN BSN
• Hector Luis Roubert, M.D.
• Jina Ruiz I
• Tania Limarie Saez Rivera
• Eunice Ester Sanchez
• Areli Santiago-Hernandez

• Registered Nurse in Patillas, PR
• Providers in Patillas, PR by specialty
• Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.