Provider Demographics
NPI:1114183704
Name:ROSADO, MILAGROS
Entity Type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:
Last Name:ROSADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 3987
Mailing Address - Street 2:BO. CALLEJONES
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-9613
Mailing Address - Country:US
Mailing Address - Phone:787-897-5248
Mailing Address - Fax:
Practice Address - Street 1:AVE. 635 KM 0.1 SECTOR GREEN
Practice Address - Street 2:BO. DOMINGUITO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:UM
Practice Address - Phone:787-817-1397
Practice Address - Fax:787-878-2065
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-02
Last Update Date:2008-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6090183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician