Individual provider Active NPI

Jazmin Rosado, DMD

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1992728745
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2212 Issued in PR
Practice address
B4 Calle Marginal
Flamingo Terrace
Bayamon, PR 00957-4342
Phone
(787) 279-9750
Fax
(787) 279-9769
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2212 PR Primary

Addresses

Primary practice location

B4 Calle Marginal
Flamingo Terrace
Bayamon, PR 00957-4342

Mailing address

RR 5 Box 5083
Bayamon, PR 00956-9731
Phone (787) 279-9750

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170331000439 PR Order and Referring Only - DentistPractitioner - Dentist 0244515344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992728745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 5 BOX 5083",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569731",
            "telephone_number": "787-279-9750",
            "fax_number": "787-279-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B4 CALLE MARGINAL",
            "address_2": "FLAMINGO TERRACE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009574342",
            "telephone_number": "787-279-9750",
            "fax_number": "787-279-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "JAZMIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.