Active NPI
Iris Yolanda Rosado, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1629290010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12730
- Practice address
- Hosp Psiquiatria Dr. Ramon Fernandez Marina
Bo Monacillo
San Juan, PR 00922 - Phone
- (787) 766-4646
- NPI assigned
- May 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12730 | PR | Primary |
Addresses
Primary practice location
Hosp Psiquiatria Dr. Ramon Fernandez Marina
Bo Monacillo
San Juan, PR 00922
Mailing address
Urb Santa Paula
Calle Juan Ramos V5
Guaynabo, PR 00969
Phone (787) 789-9623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12730 | Other | PR | MEDICAL LICENSE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12730 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administracion de Servicios de Salud Mental Y Contra la Adiccion | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- San Juan, PR
- NPI 1598750192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629290010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB SANTA PAULA",
"address_2": "CALLE JUAN RAMOS V5",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-789-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSP PSIQUIATRIA DR. RAMON FERNANDEZ MARINA",
"address_2": "BO MONACILLO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00922",
"telephone_number": "787-766-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "IRIS",
"middle_name": "YOLANDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "12730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "12730",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- 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.