Active NPI
El Medico Visitante...,P.S.C.
- Health Maintenance Organization
- San Juan, PR
National Provider Identifier
1992855746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
951 Ave Americo Miranda
San Juan, PR 00921
Phone (787) 749-9744
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- San Juan, PR
- NPI 1639165418
-
- General Practice Physician
- Carolina, PR
- NPI 1104802065
-
- Dermatology Physician
- Manchester, NH
- NPI 1003015173
-
- General Practice Physician
- Orlando, FL
- NPI 1952532046
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.