Individual provider Active NPI

Jose R Hernandez Rosado, M.D.

  • Specialist
  • Aguadilla, PR
National Provider Identifier
1811992126
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7347 Issued in PR
Practice address
24 Ave Severiano Cuevas
Aguadilla Medical Plaza
Aguadilla, PR 00603-5762
Phone
(787) 882-5607
Fax
(787) 882-5607
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7347 PR Primary

Addresses

Primary practice location

24 Ave Severiano Cuevas
Aguadilla Medical Plaza
Aguadilla, PR 00603-5762

Mailing address

PO Box 250475
Aguadilla, PR 00604-0475
Phone (787) 882-5607

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
I20120222000061 PR Practitioner - Gastroenterology 4789842741 Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Ave Severiano Cuevas
Aguadilla, PR 00603-5762
Phone (787) 882-5607

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Upper gastrointestinal (GI) endoscopy for acid reflux30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7347PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1811992126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250475",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040475",
            "telephone_number": "787-882-5607",
            "fax_number": "787-882-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 AVE SEVERIANO CUEVAS",
            "address_2": "AGUADILLA MEDICAL PLAZA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035762",
            "telephone_number": "787-882-5607",
            "fax_number": "787-882-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ ROSADO",
        "first_name": "JOSE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "7347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.