Provider Demographics
NPI:1255304853
Name:ROSADO, FLAVIA ANGELES (MEDICAL TECHNOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:FLAVIA
Middle Name:ANGELES
Last Name:ROSADO
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Gender:F
Credentials:MEDICAL TECHNOLOGIST
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Mailing Address - Street 1:11416 REY LUIS STREET
Mailing Address - Street 2:RIO GRANDE ESTATE
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745
Mailing Address - Country:US
Mailing Address - Phone:787-421-7316
Mailing Address - Fax:787-769-5323
Practice Address - Street 1:143-1 CALLE 401
Practice Address - Street 2:4 EXT. VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-4022
Practice Address - Country:US
Practice Address - Phone:787-421-7316
Practice Address - Fax:787-769-5323
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR1102246QH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QH0000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyHematology