Active NPI
Ernesto Javier Rosa, DMD
- General Practice Dentistry
- Humacao, PR
National Provider Identifier
1962695999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2793
- Practice address
- 52 Calle Carreras E
Humacao, PR 00791-4269 - Phone
- (787) 850-1085
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2793 | PR | Primary |
Addresses
Primary practice location
52 Calle Carreras E
Humacao, PR 00791-4269
Mailing address
Echegaray St. 563 Litheda Heights
San Juan, PR 00926
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2793 | PR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Dental Clinic Professional Corporation | Past | Accepting new patients | |
| Jimenez, Saldana, Rodriguez, Dentistas CSP | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Humacao, PR
- NPI 1356517437
-
- General Practice Dentistry
- Caguas, PR
- NPI 1033265681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1962695999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ECHEGARAY ST. 563 LITHEDA HEIGHTS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 CALLE CARRERAS E",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007914269",
"telephone_number": "787-850-1085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "ERNESTO",
"middle_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.