Individual provider Active NPI

Jacqueline Ruperto Rosado

  • Registered Nurse
  • Ponce, PR
National Provider Identifier
1982960365
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
30721 P Issued in PR
Practice address
Calle Siclo #Z18 Sector Punta Diamante
Ponce, PR 00728-2467
Phone
(787) 678-6638
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 30721 P PR Primary

Addresses

Primary practice location

Calle Siclo #Z18 Sector Punta Diamante
Ponce, PR 00728-2467

Mailing address

Sector Punta Diamante Calle Siclo Z18
Ponce, PR 00728-2467
Phone (787) 678-6638

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

LicenseStateTypeSpecialty
30721 PPRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1982960365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SECTOR PUNTA DIAMANTE CALLE SICLO Z18",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282467",
            "telephone_number": "787-678-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SICLO #Z18 SECTOR PUNTA DIAMANTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282467",
            "telephone_number": "787-678-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPERTO ROSADO",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "30721 P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.