Reinaldo Rosas, D.M.D., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2577 Issued in PR

Practice address

101 Ave. San Patricio
Edif. Maramar Plaza Ste. 830
Guaynabo, PR 00968

Phone

(787) 781-2737

Fax

(787) 783-7320

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 3, 2016 through Nov 3, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Centro de Periodoncia E Implantes de PR, PSC

  • Periodontics
  • Guaynabo, PR
  • NPI 1144596537
  NPD (past) Authorized official
• Centro de Periodoncia E Implantes de PR,PSC

  • Dental Clinic/Center
  • Guaynabo, PR
  • NPI 1962685701
  NPD (past) Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1710069547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVE. SAN PATRICIO",
            "address_2": "EDIF. MARAMAR PLAZA STE. 830",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-781-2737",
            "fax_number": "787-783-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE. SAN PATRICIO",
            "address_2": "EDIF. MARAMAR PLAZA STE. 830",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-781-2737",
            "fax_number": "787-783-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAS",
        "first_name": "REINALDO",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5631",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "2577",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN17276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose M Rosario Rodriguez, 597B
• Benjamin Rosario Torres, 234B
• Cristina Maria Rosario, PHD
• Ines Rosario, M.D.
• Wilson Rosas Moreno, 413P
• Carla Aurelia Rossotti, MD
• Jaidys Eleni Rossy, PSYD
• Karen E Roura Gil, M.D.
• Benjamin Roura Ortega, 1007B
• Fernando Eugenio Roura Rizzo, MD

• Periodontics in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Periodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.