Juan Rosado Valentin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1794 Issued in PR

Practice address

Urb Buena Vista 17
Calle Ramon de Jesus Sierra
Lares, PR 00669

Phone

(787) 897-2080

Fax

(787) 897-7736

NPI assigned

Dec 11, 2006

Last updated

Oct 19, 2016By the provider in NPPES

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1538229208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140550",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140550",
            "telephone_number": "787-897-2080",
            "fax_number": "787-897-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB BUENA VISTA 17",
            "address_2": "CALLE RAMON DE JESUS SIERRA",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-897-2080",
            "fax_number": "787-897-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO VALENTIN",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette Roman
• Maria P Roman, M.D.
• Yesenia Roman
• Jose A. Romero Carrero
• Reyniel Romero Perez, PHARMD
• Isabel Ruiz Cruz
• Luis Carlos Ruiz Torres, RN, BSN
• Juan Pablo Ruiz-Valle, MD
• Melany Ruiz, PH.D
• Myrta E. Ruiz, PHARMACY THECNICIA

• General Practice Dentistry in Lares, PR
• Providers in Lares, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.

Verify at the official NPI Registry.