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PEDRO A ROSA-CORTES MD
NPI 1811332315
Internal Medicine - Gastroenterology in San Juan, PR

Active since May 10, 2013PECOS EnrolledAccepts Medicare Assignment
735 AVE PONCE DE LEON, STE 816, HOSPITAL AUXILIO MUTUO, SAN JUAN, PR 00917(787) 763-1025 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 19, 2024, Nov 14, 2024, Sep 12, 2019 and 1 more (4 updates tracked since 2018).

About Pedro A Rosa-cortes Md NPPES

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

PEDRO A ROSA-CORTES MD (NPI 1811332315) is an individual gastroenterology provider in San Juan, Puerto Rico, licensed in Puerto Rico (19463) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Unc Lenoir Health Care, and maintains a secondary practice location in Dorado.

NPPES Registry Identity

NPI1811332315
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePEDRO A ROSA-CORTESCredential: MD
Location Address735 AVE PONCE DE LEON, STE 816, HOSPITAL AUXILIO MUTUOSan Juan, PR 00917
Mailing Address450 Ave De La Constitucion Ph FSan Juan, PR 00901-2311 · (787) 360-7678
Phone(787) 763-1025
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 10, 2013
Last NPPES UpdateJanuary 13, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1811332315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in PR · 19463✔ Licensed in WI · 85161
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 19463 (PR)

Secondary Practice Location 1

Location 1900 Carretera 696, Doctors Center HospitalDorado, PR 00646 · Phone (787) 625-5050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pedro A Rosa-cortes Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567894694
PECOS Enrollment IDI20191112000630, I20230821003309
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
25 services25 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
22 services22 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
13 services13 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340027
Location100 Airport RdKinston, NC 28501 · Lenoir County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Doctors Center Hospital Orlando Health Dorado

Acute Care Hospitals · Dorado, PR
OwnershipProprietary
CMS Certification Number400137
LocationRoad 696 Intersection Efron Avenue Bo HiguillarDorado, PR 00646 · Dorado County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00917 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

METRO ADVANCED GI
Internal Medicine (Gastroenterology)
735 AVE PONCE DE LEON, STE 816, HOSPITAL AUXILIO MUTUO
SAN JUAN, PR 00917
San Juan Municipio (787) 763-1025

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 Pedro Rosa-cortes's NPI number?

The NPI number for Pedro Rosa-cortes is 1811332315. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Where is Pedro Rosa-cortes located?

Pedro Rosa-cortes practices at 735 Ave Ponce De Leon, Ste 816 Hospital Auxilio Mutuo, San Juan, PR 00917. The listed phone number is (787) 763-1025.

What is Pedro Rosa-cortes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Pedro Rosa-cortes enrolled in Medicare?

Yes. Pedro Rosa-cortes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pedro Rosa-cortes accept?

Health plans from Blue Cross and Blue Shield of NC list Pedro Rosa-cortes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pedro Rosa-cortes affiliated with any hospitals?

According to CMS data, Pedro Rosa-cortes is affiliated with Unc Lenoir Health Care, Unc Health Nash and Doctors Center Hospital Orlando Health Dorado.

When was this NPI record last updated?

The NPPES record for Pedro Rosa-cortes was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.