Arelis Medina Rosa, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

018666 Issued in PR

Practice address

480 Street
Bo. Cacao, King Avila Sector
Quebradillas, PR 00678

Phone

(787) 373-5742

NPI assigned

Apr 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1699194795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780175",
            "telephone_number": "787-373-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 STREET",
            "address_2": "BO. CACAO, KING AVILA SECTOR",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-373-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA ROSA",
        "first_name": "ARELIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "018666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maark Iacobo, LLC
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• Med World Ambulance Corp
• Medical Office Health Services PSC
• Evelyn Medina, MSW
• Jennnymar Medina, M.D.
• Gerardo A Mejias, M.D.
• Arleen Melendez, NL
• Edgar Mendez, DDS

• General Practice Physician in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.