Individual provider Active NPI

Jose A Ortiz Rosado, M.D.

  • Surgery Physician
  • Ponce, PR
National Provider Identifier
1922080175
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
6915 Issued in PR
Practice address
507 Calle Ferrocarril
Urb. Santa Maria
Ponce, PR 00717-1111
Phone
(787) 843-9989
Fax
(787) 840-7245
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6915 PR Primary

Addresses

Primary practice location

507 Calle Ferrocarril
Urb. Santa Maria
Ponce, PR 00717-1111

Mailing address

PO Box 7430
Ponce, PR 00732-7430
Phone (787) 843-9989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000130 PR Practitioner - General Surgery 8325225501 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6915PRMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1922080175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7430",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327430",
            "telephone_number": "787-843-9989",
            "fax_number": "787-840-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 CALLE FERROCARRIL",
            "address_2": "URB. SANTA MARIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171111",
            "telephone_number": "787-843-9989",
            "fax_number": "787-840-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ ROSADO",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "6915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.