Active NPI
Jose Enrique Rodriguez-Rosa, MD
- General Practice Physician
- San Sebastian, PR
National Provider Identifier
1528009099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 10108
- Practice address
- 1486 Ave Emerito Estrada
San Sebastian, PR 00685-3047 - Phone
- (787) 926-0668
- Fax
- (787) 926-0668
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 10108 | PR | Primary |
Addresses
Primary practice location
1486 Ave Emerito Estrada
San Sebastian, PR 00685-3047
Mailing address
HC 56 Box 4960
Aguada, PR 00602-8668
Phone (787) 462-0691
Other practice location 1
65 Calle Pedro Santos
Moca, PR 00676-4015
Phone (787) 818-1405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619323201 | Other | PR | NPI |
| FE491A | Other | PR | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jose E. Rodriguez Rosa PSC | Current | Accepting new patients |
Locations
1486 Ave Emerito Estrada
San Sebastian, PR 00685
Phone (787) 896-0459
Organizations & group practices 1
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.
-
- Specialist
- San Sebastian, PR
- NPI 1619323201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1528009099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 56 BOX 4960",
"city": "AGUADA",
"state": "PR",
"postal_code": "006028668",
"telephone_number": "787-462-0691",
"fax_number": "787-926-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1486 AVE EMERITO ESTRADA",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006853047",
"telephone_number": "787-926-0668",
"fax_number": "787-926-0668"
}
],
"practiceLocations": [
{
"address_1": "65 Calle Pedro Santos",
"address_purpose": "LOCATION",
"city": "Moca",
"state": "PR",
"postal_code": "006764015",
"country_code": "US",
"telephone_number": "787-818-1405",
"fax_number": "787-818-1401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ-ROSA",
"first_name": "JOSE",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "10108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1619323201",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "FE491A",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.