Provider Demographics
NPI:1225098734
Name:ROSADO-OROZCO, KATHIA E
Entity Type:Individual
Prefix:
First Name:KATHIA
Middle Name:E
Last Name:ROSADO-OROZCO
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 1:675 CALLE S CUEVAS BUSTAMANTE
Mailing Address - Street 2:APT. 57
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4090
Mailing Address - Country:US
Mailing Address - Phone:787-789-3103
Mailing Address - Fax:787-751-4477
Practice Address - Street 1:300 AVE MANUEL DOMENECH
Practice Address - Street 2:HRPLABS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-765-7320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13525207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR20785Medicare ID - Type Unspecified
PRH52282Medicare UPIN