Active NPI
Olga Iris Rosa
- In Home Supportive Care Agency
- Juncos, PR
National Provider Identifier
1881279073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- Carr 198 KM 16.9 Int., Barrio Ceiba Sur, Sector Canales
Juncos, PR 00777 - Phone
- (787) 405-8865
- NPI assigned
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
Carr 198 KM 16.9 Int., Barrio Ceiba Sur, Sector Canales
Juncos, PR 00777
Mailing address
PO Box 3392
Juncos, PR 00777
Phone (787) 405-8865
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | raomanka@hotmail.com |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1881279073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3392",
"city": "JUNCOS",
"state": "PR",
"postal_code": "00777",
"telephone_number": "787-405-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 198 KM 16.9 INT., BARRIO CEIBA SUR, SECTOR CANALES",
"city": "JUNCOS",
"state": "PR",
"postal_code": "00777",
"telephone_number": "787-405-8865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "OLGA",
"middle_name": "IRIS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "raomanka@hotmail.com",
"affiliation": "N",
"address_1": "Carr 198 Km 16.9 Int., Barrio Ceiba Sur, Sector Canales",
"city": "Juncos",
"state": "PR",
"country_code": "US",
"postal_code": "00777",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Juncos, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.