Individual provider Active NPI

Myrtelina Rosado

  • Pharmacist
  • Trujillo Alto, PR
National Provider Identifier
1780146274
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2910 Issued in PR
Practice address
12 Calle Munoz Rivera
Trujillo Alto, PR 00976-5914
Phone
(787) 761-0210
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2910 PR Primary

Addresses

Primary practice location

12 Calle Munoz Rivera
Trujillo Alto, PR 00976-5914

Mailing address

A3 Calle Aracibo
Trujillo Alto, PR 00976-3503
Phone (787) 755-2261

Other identifiers 3

IdentifierTypeStateIssuer
1541972OtherPRDRVER LICENSE
1541972OtherPRDRIVER LICENSE
2910OtherPRPHARMACIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2910PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia la Fe 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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1780146274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A3 CALLE ARACIBO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763503",
            "telephone_number": "787-755-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CALLE MUNOZ RIVERA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009765914",
            "telephone_number": "787-761-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "MYRTELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRVER LICENSE",
            "identifier": "1541972",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "1541972",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "2910",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.