Individual provider Active NPI

Ignerys Rosado Maysonet

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1932278280
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15436 Issued in PR
Practice address
Calle Miguel Casillas
Esquina Munoz Marin Local # 1
Humacao, PR 00791
Phone
(787) 661-6635
Fax
(787) 285-8811
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15436 PR Primary

Addresses

Primary practice location

Calle Miguel Casillas
Esquina Munoz Marin Local # 1
Humacao, PR 00791

Mailing address

RR 11 Box 4003
Bayamon, PR 00956-9701
Phone (787) 661-6635

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
I20050310000509 PR Practitioner - Emergency Medicine 2062466279 Practice locations: Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Miguel Casillas
Esquina Munoz Marin Local 1
Humacao, PR 00791-3637
Phone (787) 661-6635

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1932278280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 11 BOX 4003",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569701",
            "telephone_number": "787-661-6635",
            "fax_number": "787-258-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MIGUEL CASILLAS",
            "address_2": "ESQUINA MUNOZ MARIN LOCAL # 1",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-661-6635",
            "fax_number": "787-285-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO MAYSONET",
        "first_name": "IGNERYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.