Jose Manuel De la Rosa, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5123 Issued in PR

Practice address

Plaza del Mar Suite
1 Road 3 KM 86.5
Humacao, PR 00791

Phone

(787) 285-0115

Fax

(787) 850-5711

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jose M De la Rosa Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619035995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8013",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928013",
            "telephone_number": "787-285-0115",
            "fax_number": "787-850-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DEL MAR SUITE",
            "address_2": "1 ROAD 3 KM 86.5",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-285-0115",
            "fax_number": "787-850-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "5123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "DE LA ROSA",
            "middle_name": "M",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dba Humacao Anesthesia Service
• Mervin De Guzman Diaz, MD
• Luis Ernesto De Jesus Burgos, DOCTOR
• Javier Miguel De Jesus-Orpi, DPM
• Julio Angel De la Cruz - Rosado, MD
• Denisse De Leon, MPSY
• Maria Del R. De Leon, M.D
• Jailene De Los Santos Ramos, SLP
• De Soto Internal Medicine Services, PSC
• Maria M Deiter, RPH

• Pediatrics Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.