Active NPI
Manuel Angel Rosario, DDS
- Dentist
- Bayamon, PR
National Provider Identifier
1801857768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 965
- Practice address
- #59 Calle Santa Cruz
Ste 200
Bayamon, PR 00961 - Phone
- (787) 786-4180
- Fax
- (787) 786-5723
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 965 | PR | Primary |
Addresses
Primary practice location
#59 Calle Santa Cruz
Ste 200
Bayamon, PR 00961
Mailing address
PO Box 1829
Bayamon, PR 00960-1829
Phone (787) 786-4180
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150713001030 | PR | Order and Referring Only - Oral Surgery | 5092027573 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 965 | PR | MD | Feeding, Eating & Swallowing Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801857768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1829",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009601829",
"telephone_number": "787-786-4180",
"fax_number": "787-786-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#59 CALLE SANTA CRUZ",
"address_2": "STE 200",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-786-4180",
"fax_number": "787-786-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "MANUEL",
"middle_name": "ANGEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.