Individual provider Active NPI

Mayra Rosado Santa, DC

  • Chiropractor
  • Fajardo, PR
National Provider Identifier
1831293299
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
317 Issued in PR
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

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
317PRMDMassage 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.

Verify at the official NPI Registry.