Carla Rossotti Vazquez,MD,PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17559 Issued in PR

Legal business name

CARLA ROSSOTTI VAZQUEZ,MD,PSC

Practice address

1511 Ave Ponce de Leon
Torre Plaza San Mateo 500 Apt 521
San Juan, PR 00909-5001

Phone

(787) 242-7306

NPI assigned

Aug 7, 2013

Last updated

Aug 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carla A Rossotti, MD

Title

President

Phone

(787) 242-7306

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1932531480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 AVE PONCE DE LEON",
            "address_2": "TORRE PLAZA SAN MATEO 500 APT 521",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009095001",
            "telephone_number": "787-242-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 AVE PONCE DE LEON",
            "address_2": "TORRE PLAZA SAN MATEO 500 APT 521",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009095001",
            "telephone_number": "787-242-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA ROSSOTTI VAZQUEZ,MD,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "ROSSOTTI",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-242-7306",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "17559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.