NPIMap

Organization Active NPI

El Medico Visitante...,P.S.C.

  • Health Maintenance Organization
  • San Juan, PR
National Provider Identifier
1992855746
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
EL MEDICO VISITANTE...,P.S.C.
Practice address
951 Ave Americo Miranda
Reparto Metropolitano
San Juan, PR 00921-2801
Phone
(787) 385-4924
Fax
(787) 771-5151
NPI assigned
Jan 12, 2007
Last updated
Dec 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Dr. Roberto Rosso, MD
Title
Presidente
Phone
(787) 385-4924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PR Primary

Addresses

Primary practice location

951 Ave Americo Miranda
Reparto Metropolitano
San Juan, PR 00921-2801

Mailing address

PO Box 364422
San Juan, PR 00936-4422
Phone (787) 385-4924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070705000531 PR Part B Supplier - Clinic/Group Practice 7113027178 Receives reassigned benefits from 6 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

951 Ave Americo Miranda
San Juan, PR 00921
Phone (787) 413-7858

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1992855746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364422",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364422",
            "telephone_number": "787-385-4924",
            "fax_number": "787-771-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 AVE AMERICO MIRANDA",
            "address_2": "REPARTO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212801",
            "telephone_number": "787-385-4924",
            "fax_number": "787-771-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MEDICO VISITANTE...,P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "ROSSO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-385-4924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.