Dr. Jose E. Rodriguez Rosa PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

10108 Issued in PR

Legal business name

DR. JOSE E. RODRIGUEZ ROSA PSC

Practice address

1486 Ave Emerito Estrada Rivera
San Sebastian, PR 00685

Phone

(787) 926-0668

Fax

(787) 926-0668

NPI assigned

May 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jose Enrique Rodriguez RosaNPI 1528009099

Title

Doctor

Phone

(787) 926-0668

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Enrique Rodriguez-Rosa, MD

  • General Practice Physician
  • San Sebastian, PR
  • NPI 1528009099
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1619323201",
    "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": "787-926-0668",
            "fax_number": "787-926-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 AVE EMERITO ESTRADA RIVERA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-926-0668",
            "fax_number": "787-926-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOSE E. RODRIGUEZ ROSA PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ ROSA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-926-0668",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "10108",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doctora Magaly Gonzalez Mestre Optometra, CSP
• Itza M Dorta Fernandez
• Dr Arce LLC
• Dr Luis M Vissepo CSP
• Dr. Elionexsis Rivera Rodriguez, CSP
• Dr. Jose Santisteban Optometra del Desarrollo PSC
• Dr.Luis Felipe Guzman Ruiz; CSP
• Dra Yesenia Cruz Morales Psycological Service LLC
• Marilyn Dumont Bonilla
• Edp T Cuida

• Specialist in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.