Provider Demographics
NPI:1033312301
Name:PADRO ROSADO, LUIS H (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:H
Last Name:PADRO ROSADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 URB CAMINO DEL VALLE
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-9678
Mailing Address - Country:US
Mailing Address - Phone:787-817-4284
Mailing Address - Fax:
Practice Address - Street 1:STATE ROAD #2 KM 78.7
Practice Address - Street 2:MIRAMAR AVE
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR110622083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRDM 10847-2OtherPR NARCOTIC LIC
PR11062OtherPR MEDICAL LIC NUMBER
BP 3772856OtherDEA NARCOTIC LIC