Individual provider Active NPI

Luis A Rosado Carrillo, M.D.

  • Cardiovascular Disease Physician
  • Guaynabo, PR
National Provider Identifier
1821009366
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12896 Issued in PR
Practice address
11 Calle Carazo
Guaynabo, PR 00969-5644
Phone
(787) 720-6376
Fax
(787) 790-1570
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12896 PR Primary

Addresses

Primary practice location

11 Calle Carazo
Guaynabo, PR 00969-5644

Mailing address

PO Box 965
Guaynabo, PR 00970-0965
Phone (787) 720-6376

Other practice location 1

Calle Carazo #42
Guaynabo, PR 00936-6528
Phone (787) 720-6376

Other practice location 2

11 Calle Carazo
Guaynabo, PR 00969-5644
Phone (787) 243-1233

Other identifiers 1

IdentifierTypeStateIssuer
12896OtherPRMEDICAL LICENSE

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
I20040929000755 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4587633284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Carazo St
Guaynabo, PR 00969

Za-1 Calle 36 Bloque
Bayamon, PR 00961
Phone (787) 785-2694

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Cardiovascular Services CSP Cardiovascular Disease CurrentSince Feb 1, 2008 Accepting new patients
Clinica Cardiovascular de Guaynabo Cardiovascular Disease CurrentSince Jul 11, 2008 Accepting new patients
Rio Grande Nuclear PSC Past Accepting new patients
Caparra Cardiology and Electrophisiology Center PSC Cardiovascular Disease PastSince Jun 14, 2001 Accepting new patients
Riverview Medical Services, Inc. Past Accepting new patients

Locations

11 Calle Carazo
Guaynabo, PR 00969
Phone (787) 220-4053

42 Calle Carazo
Guaynabo, PR 00969
Phone (787) 720-6376

Organizations & group practices 5

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1821009366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009700965",
            "telephone_number": "787-720-6376",
            "fax_number": "787-790-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695644",
            "telephone_number": "787-720-6376",
            "fax_number": "787-790-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CALLE CARAZO #42",
            "address_purpose": "LOCATION",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009366528",
            "country_code": "US",
            "telephone_number": "787-720-6376",
            "fax_number": "787-720-6376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Calle Carazo",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "009695644",
            "country_code": "US",
            "telephone_number": "787-243-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSADO CARRILLO",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "12896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "12896",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.