Active NPI
Jorge Luis Alvarez Rosales
- Registered Nurse
- Louisville, KY
National Provider Identifier
1619708922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 846125
- Practice address
- 845 S 3Rd St
Louisville, KY 40203-2213 - Phone
- (850) 405-6931
- NPI assigned
- Aug 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4012134 | KY | |
| Registered Nurse | 163W00000X | 846125 | NY | Primary |
Addresses
Primary practice location
845 S 3Rd St
Louisville, KY 40203-2213
Mailing address
14745 Stable Gate PL Unit 402
Louisville, KY 40299-2075
Phone (850) 405-6931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4012134 | KY | MD | Registered Nurse |
| 846125 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1619708922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14745 STABLE GATE PL UNIT 402",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992075",
"telephone_number": "850-405-6931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 S 3RD ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032213",
"telephone_number": "850-405-6931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ ROSALES",
"first_name": "JORGE",
"middle_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-08",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "4012134",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "846125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.