DR. LISSETTE ANN MARIE DAVIS ROSARIO
NPI 1942954078
General Practice in Bayamon, PR

Q: What is Lissette Davis Rosario's NPI number?

The NPI number for Lissette Davis Rosario is 1942954078. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Q: What is Lissette Davis Rosario's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since February 08, 2022PECOS Enrolled

70 CALLE SANTA CRUZ, BAYAMON, PR 00961(787) 387-9520 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2023, Feb 8, 2022 (2 updates tracked since 2022).

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About Dr. Lissette Ann Marie Davis Rosario NPPES

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

DR. LISSETTE ANN MARIE DAVIS ROSARIO (NPI 1942954078) is an individual general practice provider in Bayamon, Puerto Rico, licensed in Puerto Rico (23305) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942954078

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. LISSETTE ANN MARIE DAVIS ROSARIO

Location Address70 CALLE SANTA CRUZBayamon, PR 00961-7052

Mailing AddressUrb. Puerto Nuevo 1371 Calle 12 Nw, Apt 4San Juan, PR 00920 · (787) 387-9520

Phone(787) 387-9520

Sole ProprietorNo

Enumeration DateFebruary 8, 2022

Last NPPES UpdateJune 12, 20232 updates tracked since enumeration

NPPES CertifiedJune 12, 2023

✔ NPI 1942954078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in PR · 23305

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 16085I (PR)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lissette Ann Marie Davis Rosario 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.

Other Providers at the Same Location NPPES 20

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

DR. NICOLLE SPENCE M.D.

General Practice