Individual provider Active NPI

Kenia Carreras de la Rosa, MD, MPH

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1801539101
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23342 Issued in PR
Practice address
Carr. 1, KM. 172 Piso 2
Edficio Crim
San Juan, PR 00926
Phone
(787) 523-3735
NPI assigned
Apr 15, 2022
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 23342 PR Primary

Addresses

Primary practice location

Carr. 1, KM. 172 Piso 2
Edficio Crim
San Juan, PR 00926

Mailing address

RR 2 Box 5632
Toa Alta, PR 00953-8956

Other practice location 1

Km. 11.7 PR-2
Bayamon, PR 00953
Phone (787) 474-8282

Other practice location 2

Carr 172 Exit 21 Urb Turabo Gardens
Caguas, PR 00725
Phone (787) 653-0550

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
I20240302000457 PR Practitioner - General Practice 0244675015 Practice locations: San Juan, PR; Humacao, PR; Carolina, PR; Dorado, PR; Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1395 Calle San Rafael
San Juan, PR 00909-2518
Phone (787) 999-7620

3 Calle Font Martelo E
Humacao, PR 00791-3617
Phone (787) 656-2424

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restora Wellness & Aesthetic Medicine General Practice CurrentSince Feb 24, 2025 Accepting new patients
Rijo Aristy Medical Services LLC General Practice Past Accepting new patients
GHP C.S.P. Past Accepting new patients

Locations

382 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 604-0436

1395 Calle San Rafael
Santurce, PR 00909
Phone (787) 303-5410

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1801539101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 5632",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009538956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 1, KM. 172 PISO 2",
            "address_2": "EDFICIO CRIM",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-523-3735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Km. 11.7 PR-2",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00953",
            "country_code": "US",
            "telephone_number": "787-474-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carr 172 Exit 21 Urb Turabo Gardens",
            "address_purpose": "LOCATION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-653-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRERAS DE LA ROSA",
        "first_name": "KENIA",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.