Active NPI
Ilianys Kathiara Rosado Rivera
- Registered Nurse
- San Juan, PR
National Provider Identifier
1508739905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 101956
- Practice address
- 1462, 2227 C Prof Augusto Rodriguez
San Juan, PR 00910 - Phone
- (787) 641-1616
- NPI assigned
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 101956 | PR | Primary |
Addresses
Primary practice location
1462, 2227 C Prof Augusto Rodriguez
San Juan, PR 00910
Mailing address
HC 3 Box 34419
Morovis, PR 00687-9053
Phone (787) 369-0828
Other practice location 1
656 Calle Hatillo
Av Juan Ponce de Leon
San Juan, PR 00918
Phone (787) 998-8997
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 |
|---|---|---|---|
| 101956 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1508739905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 34419",
"city": "MOROVIS",
"state": "PR",
"postal_code": "006879053",
"telephone_number": "787-369-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462, 2227 C PROF AUGUSTO RODRIGUEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00910",
"telephone_number": "787-641-1616"
}
],
"practiceLocations": [
{
"address_1": "656 Calle Hatillo",
"address_2": "Av Juan Ponce de Leon",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00918",
"country_code": "US",
"telephone_number": "787-998-8997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSADO RIVERA",
"first_name": "ILIANYS",
"middle_name": "KATHIARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-24",
"last_updated": "2025-09-24",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "101956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.