Individual provider Active NPI

Yadira Reyes Rosario, M.D.

  • Family Medicine Physician
  • Barceloneta, PR
National Provider Identifier
1720295157
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15758 Issued in PR
Practice address
Panorama Plaza 1841
Carretera # 2 Suite 1
Barceloneta, PR 00617
Phone
(787) 325-7738
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15758 PR Primary

Addresses

Primary practice location

Panorama Plaza 1841
Carretera # 2 Suite 1
Barceloneta, PR 00617

Mailing address

PO Box 1885
Barceloneta, PR 00617-1885
Phone (787) 855-4011

Other practice location 1

105 Carr 687
Bo. Algarrobo
Vega Baja, PR 00693-6200
Phone (787) 855-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000256 PR Practitioner - Family Practice 0749205755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15758PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MMC Family Medical Center LLC CurrentSince Dec 1, 2015 Accepting new patients
Policlinicas Salud del Norte Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1720295157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1885",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006171885",
            "telephone_number": "787-855-4011",
            "fax_number": "787-325-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PANORAMA PLAZA 1841",
            "address_2": "CARRETERA # 2 SUITE 1",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-325-7738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Carr 687",
            "address_2": "Bo. Algarrobo",
            "address_purpose": "LOCATION",
            "city": "Vega Baja",
            "state": "PR",
            "postal_code": "006936200",
            "country_code": "US",
            "telephone_number": "787-855-4011",
            "fax_number": "787-855-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES ROSARIO",
        "first_name": "YADIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

Verify at the official NPI Registry.