Active NPI
Emmanuel Rosado-Valentin, D.M.D.
- General Practice Dentistry
- San Juan, PR
National Provider Identifier
1649523648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29306
- Practice address
- 576 Arterial B Ave.
Coliseum Tower Apt 1808
San Juan, PR 00918 - Phone
- (787) 616-9537
- NPI assigned
- Oct 16, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2911 | PR | |
| General Practice Dentistry | 1223G0001X | 29306 | TX | Primary |
Addresses
Primary practice location
576 Arterial B Ave.
Coliseum Tower Apt 1808
San Juan, PR 00918
Mailing address
576 Ave Arterial B Apt 1808
San Juan, PR 00918-2230
Phone (787) 624-9341
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 |
|---|---|---|---|
| 2911 | PR | MD | Dentist |
| 29306 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520985600000",
"number": "1649523648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 AVE ARTERIAL B APT 1808",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182230",
"telephone_number": "787-624-9341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 ARTERIAL B AVE.",
"address_2": "COLISEUM TOWER APT 1808",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-616-9537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO-VALENTIN",
"first_name": "EMMANUEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-16",
"last_updated": "2018-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2911",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "29306",
"primary": true
}
],
"identifiers": [],
"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 Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.