Active NPI
Elias Rufo Rosa-Mendez, MD
- Ophthalmology Physician
- Humacao, PR
National Provider Identifier
1619968575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- PR 2736
- Practice address
- 313 Ave Font Martelo
Humacao, PR 00791-3204 - Phone
- (787) 852-1730
- Fax
- (787) 852-1730
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | PR 2736 | PR | Primary |
Addresses
Primary practice location
313 Ave Font Martelo
Humacao, PR 00791-3204
Mailing address
PO Box 195402
San Juan, PR 00919-5402
Phone (787) 767-5580
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR 2736 | PR | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1619968575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 195402",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009195402",
"telephone_number": "787-767-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 AVE FONT MARTELO",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913204",
"telephone_number": "787-852-1730",
"fax_number": "787-852-1730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA-MENDEZ",
"first_name": "ELIAS",
"middle_name": "RUFO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "PR 2736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.