Active NPI
Mayra Rosado Santa, DC
- Chiropractor
- Fajardo, PR
National Provider Identifier
1831293299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 317
- Practice address
- Ave Conquistador
Vistas del Convento 2F22
Fajardo, PR 00738 - Phone
- (787) 863-7691
- Fax
- (787) 655-3782
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 317 | PR | Primary |
Addresses
Primary practice location
Ave Conquistador
Vistas del Convento 2F22
Fajardo, PR 00738
Mailing address
PO Box 70012
PMB 1182
Fajardo, PR 00738-7012
Phone (787) 863-7691
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317 | PR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1831293299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70012",
"address_2": "PMB 1182",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007387012",
"telephone_number": "787-863-7691",
"fax_number": "787-655-3782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE CONQUISTADOR",
"address_2": "VISTAS DEL CONVENTO 2F22",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-863-7691",
"fax_number": "787-655-3782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO SANTA",
"first_name": "MAYRA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.