Individual provider Active NPI

Richard Graulau Rosario, M.D.

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1730480989
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18013 Issued in PR
Practice address
18 Calle Jose Padilla El Caribe
Cidra, PR 00739-3434
Phone
(787) 590-7122
NPI assigned
Nov 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18013 PR Primary

Addresses

Primary practice location

18 Calle Jose Padilla El Caribe
Cidra, PR 00739-3434

Mailing address

215 Urb Sierra Real
Cayey, PR 00736-9004
Phone (787) 923-9958

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
I20121003000079 PR Practitioner - General Practice 0143479394 Practice locations: Cidra, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Graulau Care Clinic General Practice CurrentSince Sep 20, 2022 Accepting new patients

Locations

18 Calle Jose Padilla El Caribe
Cidra, PR 00739
Phone (787) 590-1722

Organizations & group practices 1

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1730480989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 URB SIERRA REAL",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369004",
            "telephone_number": "787-923-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE JOSE PADILLA EL CARIBE",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393434",
            "telephone_number": "787-590-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAULAU ROSARIO",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.