Active NPI
Graciela Rosario, DMD
- Dentist
- Aibonito, PR
National Provider Identifier
1942200167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1267
- Practice address
- Calle Pedro Rosario
Suite K-11
Aibonito, PR 00705-2055 - Phone
- (787) 735-5999
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1267 | PR | Primary |
Addresses
Primary practice location
Calle Pedro Rosario
Suite K-11
Aibonito, PR 00705-2055
Mailing address
PO Box 2055
Aibonito, PR 00705-2055
Phone (787) 735-5999
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 |
|---|---|---|---|
| 1267 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1942200167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2055",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007052055",
"telephone_number": "787-735-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE PEDRO ROSARIO",
"address_2": "SUITE K-11",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007052055",
"telephone_number": "787-735-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "GRACIELA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "1267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.