Active NPI
Jose David Rosado
- Licensed Practical Nurse
- Arecibo, PR
National Provider Identifier
1912291733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 21512
- Practice address
- 129 Street San Luis Ave.
Assmca-Arecibo
Arecibo, PR 00613-9550 - Phone
- (787) 878-3552
- Fax
- (787) 879-8633
- NPI assigned
- Jun 9, 2011
- Last updated
- Jun 9, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 21512 | PR | Primary |
Addresses
Primary practice location
129 Street San Luis Ave.
Assmca-Arecibo
Arecibo, PR 00613-9550
Mailing address
Munoz Rivera Ave. 218
Camuy, PR 00627-0826
Phone (787) 646-8704
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21512 | PR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1912291733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MUNOZ RIVERA AVE. 218",
"city": "CAMUY",
"state": "PR",
"postal_code": "006270826",
"telephone_number": "787-646-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 STREET SAN LUIS AVE.",
"address_2": "ASSMCA-ARECIBO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006139550",
"telephone_number": "787-878-3552",
"fax_number": "787-879-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "JOSE",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PR",
"license": "21512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.