SAMUEL J. ROSERO GARCIA M.D. – NPI #1912395807
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
SAMUEL ROSERO GARCIA is a physician located in LAKESIDE, AZ. NPPES has assigned the NPI number 1912395807 to SAMUEL ROSERO GARCIA on December 31, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was previously updated about 6 years ago on Jun 03, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL ROSERO GARCIA below.
NPI Profile for
SAMUEL J. ROSERO GARCIA
(more than 11 years ago)
LAKESIDE, AZ 85929 Phone: (928) 368-4547 Fax: (928) 368-4527
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for SAMUEL ROSERO GARCIA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | PR LICENSURE BOARD | PR | 019230 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
PR | 019230 |
| 207Q00000X - Family Medicine |
AZ | 61056 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
SAMUEL ROSERO GARCIA is affiliated with the following medical group(s):
- HOSPITAL
- WHITERIVER PHS INDIAN HOSPITAL200 WEST HOSPITAL DRIVE (PO BOX 860)
WHITERIVER, AZ 85941
- WHITERIVER PHS INDIAN HOSPITAL200 WEST HOSPITAL DRIVE (PO BOX 860)
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See the complete CMS Data Dissemination Notice here.