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DR. ELSIMARIE ROSA-HERNANDEZ D.M.D
NPI 1235498981
Dentist in Trujillo Alto, PR

Active since May 15, 2012PECOS Enrolled
VIA ARCOIRIS AVE, URB.PACIFICA,ENCANTADA, PG132, TRUJILLO ALTO, PR 00976(787) 642-2676 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Elsimarie Rosa-hernandez D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELSIMARIE ROSA-HERNANDEZ D.M.D (NPI 1235498981) is an individual dentist in Trujillo Alto, Puerto Rico, licensed in Puerto Rico (3169) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235498981
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. ELSIMARIE ROSA-HERNANDEZCredential: D.M.D
Location AddressVIA ARCOIRIS AVE, URB.PACIFICA,ENCANTADA, PG132Trujillo Alto, PR 00976-6155
Mailing AddressVia Arcoiris Ave, Urb.pacifica,encantada, Pg132Trujillo Alto, PR 00976-6155 · (787) 642-2676
Phone(787) 642-2676
Sole ProprietorYes
Enumeration DateMay 15, 2012
Last NPPES UpdateMay 5, 2014
✔ NPI 1235498981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in PR · 3169✔ Licensed in NY · 056945
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elsimarie Rosa-hernandez D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Elsimarie Rosa-hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neomed Center, Inc
Federally Qualified Health Center (FQHC)
941 SAN ANTONIO FINAL ST RT, SALIDA BARRIO JAGUAS
Gurabo, PR 00778
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 119 clinicians in this Medicare group
NPI 1790776334 (787) 737-2311
Salud Integral En La Montana, Inc.
Federally Qualified Health Center (FQHC)
116 CALLE BARCELO
Barranquitas, PR 00794
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Also billed through NPI 1306327341 (Puerto Rico), NPI 1013777622 (Puerto Rico)
  • 112 clinicians in this Medicare group
NPI 1316970833 (787) 857-3440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00976 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elsimarie Rosa-hernandez's NPI number?

The NPI number for Elsimarie Rosa-hernandez is 1235498981. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Elsimarie Rosa-hernandez located?

Elsimarie Rosa-hernandez practices at Via Arcoiris Ave, Urb.Pacifica,encantada Pg132, Trujillo Alto, PR 00976. The listed phone number is (787) 642-2676.

What is Elsimarie Rosa-hernandez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Elsimarie Rosa-hernandez enrolled in Medicare?

Yes. Elsimarie Rosa-hernandez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elsimarie Rosa-hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elsimarie Rosa-hernandez reassigns Medicare benefits to 2 organizations: Neomed Center, Inc (Gurabo, PR) and Salud Integral En La Montana, Inc. (Barranquitas, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elsimarie Rosa-hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elsimarie Rosa-hernandez was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.