Individual provider Active NPI

Jose Enrique Rodriguez-Rosa, MD

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1528009099
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10108 Issued in PR
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

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1619323201OtherPRNPI
FE491AOtherPRPTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101001067 PR Practitioner - General PracticePractitioner - General Surgery 3274727516 Reassigns benefits to 1 organization
Practice locations: Moca, PR; San Sebastian, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jose E. Rodriguez Rosa PSC CurrentSince Mar 30, 2023 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.

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

Verify at the official NPI Registry.