Organization Active NPI

Gracia C del Rosario, MD

  • Physical Medicine & Rehabilitation Physician
  • Arlington, TX
National Provider Identifier
1659801025
Registry record updated Jun 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
K7521 Issued in TX
Legal business name
GRACIA C DEL ROSARIO, MD
Practice address
900 W Arbrook Blvd
Arlington, TX 76015-4314
Phone
(682) 304-6000
Fax
(682) 304-6074
NPI assigned
Jun 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2017

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

Authorized official

Name
Gracia Del RosarioNPI 1215159108
Title
Sole Proprietor
Phone
(817) 966-2163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X K7521 TX Primary

Addresses

Primary practice location

900 W Arbrook Blvd
Arlington, TX 76015-4314

Mailing address

2600 E Southlake Blvd # 120-117
Southlake, TX 76092-6634
Phone (817) 966-2163

National Provider Directory

National Provider Directory

Locations

2600 E Southlake Blvd
#120117
Southlake, TX 76092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1659801025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHLAKE BLVD # 120-117",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926634",
            "telephone_number": "817-966-2163",
            "fax_number": "817-400-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W ARBROOK BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154314",
            "telephone_number": "682-304-6000",
            "fax_number": "682-304-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIA C DEL ROSARIO, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "DEL ROSARIO",
        "authorized_official_first_name": "GRACIA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "817-966-2163"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K7521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.