Individual provider Active NPI

Viriato Jose Diez Rosales, MD

  • Anesthesiology Physician
  • Caguas, PR
National Provider Identifier
1760553192
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
7855 Issued in PR
Practice address
Hima San Pablo Luis Munoz Marin
Mariolga Ave
Caguas, PR 00725
Phone
(787) 653-3094
Fax
(787) 653-1776
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 7855 PR Primary

Addresses

Primary practice location

Hima San Pablo Luis Munoz Marin
Mariolga Ave
Caguas, PR 00725

Mailing address

PO Box 636
Caguas, PR 00726-0636
Phone (787) 653-3434

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
I20051201000057 PR Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pediatric MedicinePractitioner - Emergency Medicine 9133149487

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7855PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Surgery Past Accepting new patients

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1760553192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260636",
            "telephone_number": "787-653-3434",
            "fax_number": "787-653-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA SAN PABLO LUIS MUNOZ MARIN",
            "address_2": "MARIOLGA AVE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-653-3094",
            "fax_number": "787-653-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEZ ROSALES",
        "first_name": "VIRIATO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "7855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.