Juan Angel De la Rosa, M.D.

Primary specialty

DriverTaxonomy code 172A00000X

License

2176650 Issued in PR

Practice address

Urb. Camino del Sol
420 Camino Real
Vega Baja, PR 00693-4177

Phone

(787) 807-5437

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corporacion Las Vegas, LLC Home health agency, Manati, PR, CCN 407014
• Hospicio la Milagrosa, Inc Hospice, Morovis, PR, CCN 401560

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospicio la Milagrosa Inc.

  • Community Based Hospice Care Agency
  • Morovis, PR
  • NPI 1912059940

  W-2 Managing Employee

  CMS ownership

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.

• Los Angeles Medical Clinic Corp

  • General Practice Physician
  • Santurce, PR
  • NPI 1912970351

  General Practice

  NPD (past)
• Los Angeles Medical Health Clinic

  • Obstetrics & Gynecology Physician
  • San Juan, PR
  • NPI 1003011479
  NPD (past)
• Vega Alta Community Health

  • Clinical Medical Laboratory
  • Vega Alta, PR
  • NPI 1952338154
  NPD (past)
• Vega Baja Community Health

  • Emergency Care Clinic/Center
  • Vega Baja, PR
  • NPI 1760419964
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Corporacion Las Vegas, LLC

  • Home Health Agency
  • Manati, PR
  • NPI 1659364248
  Care Compare affiliation
• Hospicio la Milagrosa Inc.

  • Community Based Hospice Care Agency
  • Morovis, PR
  • NPI 1912059940

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1528024908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. CAMINO DEL SOL",
            "address_2": "420 CAMINO REAL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934177",
            "telephone_number": "787-807-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. CAMINO DEL SOL",
            "address_2": "420 CAMINO REAL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934177",
            "telephone_number": "787-807-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "JUAN",
        "middle_name": "ANGEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "PR",
            "license": "2176650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14417",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emanuel Davila-Collazo
• Alex Amir Davila, MD
• Karinellie Davila
• DC Health Care LLC
• Juan De la Cruz, M.D.
• Jose Francisco De Leon, M.D.
• Del Mar Health LLC
• Del Mar Health LLC
• Edgardo Del Pozo Gomez, MD
• Delamar Inc

• All providers in Vega Baja, PR
• Driver in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.