Individual provider Active NPI

Lourdes M. Rosado Rojas, P.T.

  • Physical Therapist
  • Toa Baja, PR
National Provider Identifier
1497877211
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1282 Issued in PR
Practice address
Condominio Lagos del Norte
Apt. 910
Toa Baja, PR 00949
Phone
(787) 590-1781
Fax
(787) 784-7909
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1282 PR Primary

Addresses

Primary practice location

Condominio Lagos del Norte
Apt. 910
Toa Baja, PR 00949

Mailing address

1 Cond Lagos del Norte Apt 910
Toa Baja, PR 00949-1605
Phone (787) 590-1781

Other identifiers 2

IdentifierTypeStateIssuer
50143OtherPRPMC PROVIDER NUMBER
870084OtherPRMMM PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000034 PR Practitioner - Physical Therapist in Private Practice 6103801121 Practice locations: Corozal, PR; Vega Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Calle a
Urb Sobrino
Corozal, PR 00783
Phone (787) 590-1781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1282PRMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1497877211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COND LAGOS DEL NORTE APT 910",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009491605",
            "telephone_number": "787-590-1781",
            "fax_number": "787-784-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO LAGOS DEL NORTE",
            "address_2": "APT. 910",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-590-1781",
            "fax_number": "787-784-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO ROJAS",
        "first_name": "LOURDES",
        "middle_name": "M.",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC PROVIDER NUMBER",
            "identifier": "50143",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM PROVIDER NUMBER",
            "identifier": "870084",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.