Organization Active NPI

Sma Medicine, LLC

  • Adult Medicine Physician
  • Smyrna, DE
National Provider Identifier
1841255247
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
C1 0005332 Issued in DE
Legal business name
SMA MEDICINE, LLC
Practice address
38 Deak Dr
Smyrna, DE 19977-1268
Phone
(302) 653-6174
Fax
(302) 653-9563
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Rufino Villar Rosal, MD.
Title
Practitioner
Phone
(302) 653-6174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X C1 0005332 DE Primary

Addresses

Primary practice location

38 Deak Dr
Smyrna, DE 19977-1268

Mailing address

198 Raven Circle
Camden Wyoming, DE 19934-4016
Phone (302) 678-2334

Other identifiers 2

IdentifierTypeStateIssuer
DE5704OtherDERAILROAD MEDICARE
0000945801MedicaidDE

Other names 1

  • Rufino V. Rosal Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1841255247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 RAVEN CIRCLE",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199344016",
            "telephone_number": "302-678-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 DEAK DR",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771268",
            "telephone_number": "302-653-6174",
            "fax_number": "302-653-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMA MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "ROSAL",
        "authorized_official_first_name": "RUFINO",
        "authorized_official_middle_name": "VILLAR",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "302-653-6174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "DE",
            "license": "C1 0005332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5704",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000945801",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rufino V. Rosal",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.