Jacqueline Rosado

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1757 Issued in PR

Practice address

Comunidad Cristina
3 Calle Las Gladiolas
Juana Diaz, PR 00795-9998

Phone

(939) 731-3024

NPI assigned

Oct 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Dermgroup LLC

  • MOHS-Micrographic Surgery Physician
  • San Juan, PR
  • NPI 1790337582
  NPD (past)
• Dra Barbara Rosado Carrion PSC

  • Gastroenterology Physician
  • Ponce, PR
  • NPI 1932348075
  NPD (past)

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1689078594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15009 CALLE UCAR",
            "address_2": "PASEOS DE JACARANDA",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007579600",
            "telephone_number": "787-423-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMUNIDAD CRISTINA",
            "address_2": "3 CALLE LAS GLADIOLAS",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959998",
            "telephone_number": "939-731-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1757",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maricarmen Rodriguez
• Miguel Angel Rodriguez
• Ramon Antonio Rodriguez Sr.
• Migdalia Roman
• Hector L Rosado, MD
• Luisa I Rosario Collazo, MSWC
• Maria Del R. Rosario Negron, PHARMD
• Juan R Rosario, D.M.D.
• Ingrid M Rosso-Tridas, DMD
• RS Psychological Enterprise

• Clinical Psychologist in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.