Active NPI
Rosa G Maldonado Esparra
- Prosthetic/Orthotic Supplier
- Trujillo Alto, PR
National Provider Identifier
1679739239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- Urb Encantada Pacifica P-G 72
Trujillo Alto, PR 00976 - Phone
- (787) 518-4561
- Fax
- (787) 760-4862
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
Urb Encantada Pacifica P-G 72
Trujillo Alto, PR 00976
Mailing address
PMB 238 PO Box 2500
Trujillo Alto, PR 00977-2500
Phone (787) 518-4561
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1679739239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 238 PO BOX 2500",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009772500",
"telephone_number": "787-518-4561",
"fax_number": "787-760-4862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB ENCANTADA PACIFICA P-G 72",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-518-4561",
"fax_number": "787-760-4862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO ESPARRA",
"first_name": "ROSA",
"middle_name": "G",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.