Jorge Emanuel Rosa Fuertes, MD, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

956PA Issued in PR

Practice address

Hcda la Matilde
5184 Calle Trapiche
Ponce, PR 00728-2426

Phone

(787) 923-2484

NPI assigned

Sep 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1649993171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HCDA LA MATILDE",
            "address_2": "5184 CALLE TRAPICHE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282426",
            "telephone_number": "787-923-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HCDA LA MATILDE",
            "address_2": "5184 CALLE TRAPICHE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282426",
            "telephone_number": "787-923-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA FUERTES",
        "first_name": "JORGE",
        "middle_name": "EMANUEL",
        "name_prefix": "Dr.",
        "credential": "MD, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "956PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jerf91@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Hcda La Matilde",
            "address_2": "5184 Calle Trapiche",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007282426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yolimar Cristina Romero
• Juan Carlos Roque-Martinez, PT
• Alexis J Roque
• Lemuel Rosa Andrades
• Jose Gabriel Rosa Colon
• Paola Rosa Gil de Rubio
• John Victor Rosa Rosas
• Daisy M Rosa-Pintor, PHARMD.
• Cristian Agapito Rosa
• Alondra Jackira Rosado Ayala

• Medical Physician Assistant in Ponce, PR
• Providers in Ponce, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.