Provider Demographics
NPI:1114050283
Name:ROSARIO-MARTINEZ, CARLOS A (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:A
Last Name:ROSARIO-MARTINEZ
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:URB. COSTA SUR F F-24
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-0000
Mailing Address - Country:US
Mailing Address - Phone:787-267-4475
Mailing Address - Fax:787-267-1964
Practice Address - Street 1:40 CALLE 25 DE JULIO
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3601
Practice Address - Country:US
Practice Address - Phone:787-267-2811
Practice Address - Fax:787-267-1964
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15870207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine