Individual provider Active NPI

Pablo Rosado, MD

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1932979960
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16455 Issued in PR
Practice address
Calle Hernandez Carrion
Manati, PR 00674-0067
Phone
(787) 621-3700
NPI assigned
Jan 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 16455 PR Primary

Addresses

Primary practice location

Calle Hernandez Carrion
Manati, PR 00674-0067

Mailing address

PO Box 2617
Vega Baja, PR 00694-2617

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
I20240923002889 PR Practitioner - General Practice 8224579891 Reassigns benefits to 2 organizations
Practice locations: Vega Baja, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23674PRMDSocial Worker
16455PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Morovis Community Health Center, Inc. CurrentSince Mar 15, 2025 Accepting new patients
Instituto Medico del Norte Inc Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Morovis Community Health Center, Inc. Single Specialty Current Accepting new patients
Morovis Community Health Center, Inc. CurrentSince Mar 15, 2025 Accepting new patients

Locations

2 Calle Patron
Morovis, PR 00687
Phone (809) 862-3000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1932979960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2617",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006942617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HERNANDEZ CARRION",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740067",
            "telephone_number": "787-621-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "PABLO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "16455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.