Individual provider Active NPI

Fatima B. Cintron-Rosa, M.D.

  • Nephrology Physician
  • Humacao, PR
National Provider Identifier
1578827309
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19055 Issued in PR
Practice address
111 Calle Cruz Ortiz Stella S
Humacao, PR 00791-4110
Phone
(787) 719-4051
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19055 PR
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 19055 PR Primary

Addresses

Primary practice location

111 Calle Cruz Ortiz Stella S
Humacao, PR 00791-4110

Mailing address

PO Box 190119
San Juan, PR 00919-0119

Other identifiers 1

IdentifierTypeStateIssuer
19055OtherPRMEDICAL LICENSE

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
I20180116001712 PR Practitioner - NephrologyPractitioner - Internal Medicine 4486923596 Practice locations: Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Calle Cruz Ortiz Stella S
Humacao, PR 00791-4110
Phone (787) 719-4051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19055PRMDNephrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1578827309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190119",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CALLE CRUZ ORTIZ STELLA S",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914110",
            "telephone_number": "787-719-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINTRON-ROSA",
        "first_name": "FATIMA",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19055",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "19055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "19055",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.