Individual provider Active NPI

Ilianys Kathiara Rosado Rivera

  • Registered Nurse
  • San Juan, PR
National Provider Identifier
1508739905
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
101956 Issued in PR
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

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
101956PRMDRegistered 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.

Verify at the official NPI Registry.