DRA. YESENIA E. JUSTINIANO ROSARIO CSP


Address: 167 Santiago Riera Palmer, Mayaguez, PR 00680-5036
Phone: 7878313270

DRA. YESENIA E. JUSTINIANO ROSARIO CSP (NPI# 1750793295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750793295
Entity Type Organization
Organization Name DRA. YESENIA E. JUSTINIANO ROSARIO CSP
Practice Address 167 Santiago Riera Palmer
Mayaguez
PR 00680-5036
Practice Telephone 7878313270
Enumeration Date 2014-06-02
Last Update Date 2015-01-07
Authorized Official Name DR. YESENIA E. JUSTINIANO ROSARIO (PRESIDENT)
Authorized Official Telephone 7873177792
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization 17382 PR Managed Care Organizations

Office Location

Street Address 167 SANTIAGO RIERA PALMER
City MAYAGUEZ
State PR
Zip Code 00680-5036

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Competitor

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City MAYAGUEZ
Zip Code 00680

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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