Individual provider Active NPI

Paola Rosado Rodriguez, DMD

  • General Practice Dentistry
  • Aguada, PR
National Provider Identifier
1750777611
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3273 Issued in PR
Practice address
Centro Cooperativo de Aguada
Carr. 115 KM 24.6 Suite 13
Aguada, PR 00602
Phone
(787) 868-3434
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3273 PR
General Practice Dentistry 1223G0001X 3273 PR Primary

Addresses

Primary practice location

Centro Cooperativo de Aguada
Carr. 115 KM 24.6 Suite 13
Aguada, PR 00602

Mailing address

PO Box 2807
San German, PR 00683-2807

Other practice location 1

735 Ave Ponce De Leon Ste 713
San Juan, PR 00917-5030
Phone (787) 765-8394

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118001948 PR Practitioner - Dentist 5799137402 Practice locations: Aguada, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3273PRMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Monica Velez Dental Services LLC General Practice CurrentSince Dec 17, 2023 Accepting new patients
Quality Dental Group Dentist CurrentSince Nov 1, 2021 Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 713
San Juan, PR 00917
Phone (787) 765-8394

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1750777611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2807",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006832807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COOPERATIVO DE AGUADA",
            "address_2": "CARR. 115 KM 24.6 SUITE 13",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Ave Ponce De Leon Ste 713",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009175030",
            "country_code": "US",
            "telephone_number": "787-765-8394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSADO RODRIGUEZ",
        "first_name": "PAOLA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3273",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.