Yesenia E Justiniano Rosario, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17382 Issued in PR

Practice address

6 Saint Johns Medical Park Dr
St Augustine, FL 32086-5298

Phone

(904) 823-3301

Fax

(904) 823-3328

NPI assigned

Dec 28, 2008

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

Enrolled in PR, FL2 enrollments

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 2

Specialty

General Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All About Feet and Legs PAGroup PAC ID 7214153725, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• All About Feet & Legs, PA

  • Podiatrist
  • St Augustine, FL
  • NPI 1710399555

  General Practice

  Medicare reassignment Care Compare group NPD
• Centro de Heridas, Corp.

  • Health Service Clinic/Center
  • San German, PR
  • NPI 1467681809
  Medicare reassignment NPD

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

{
    "created_epoch": "1230422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1508002395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ZEBULAHS TRL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645260",
            "telephone_number": "787-317-7792",
            "fax_number": "787-831-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAINT JOHNS MEDICAL PARK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865298",
            "telephone_number": "904-823-3301",
            "fax_number": "904-823-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTINIANO ROSARIO",
        "first_name": "YESENIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-28",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JSC Pedorthics Inc. (JSC Orthotics and Prosthetics)
• Juan Larroude MD PA
• Moriah Judkins
• Just Speechie
• Keith Myron Justice, M.D.
• Vivian Juvan, LCSW
• JVL Mevent PLLC (Sunshine Kids Pediatrics)
• K&TS Healthcare Services, LLC (KindHeart Home Care)
• Kenneth Joseph Kaczka, DPT
• Vickie Lynn Kaiser, D.M.D.

• General Practice Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.