Provider Demographics
NPI:1326042193
Name:ROSADO MUNOZ, JAIME R (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:R
Last Name:ROSADO MUNOZ
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:TORRE AUXILIO MUTUO
Mailing Address - Street 2:735 PONCE DE LEON AVE.,SUITE. 818
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-5031
Mailing Address - Country:US
Mailing Address - Phone:787-758-0744
Mailing Address - Fax:787-765-6593
Practice Address - Street 1:735 PONCE DE LEON AVE
Practice Address - Street 2:STE 818
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5031
Practice Address - Country:US
Practice Address - Phone:787-758-0744
Practice Address - Fax:787-765-6593
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2009-03-23
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Provider Licenses
StateLicense IDTaxonomies
PR122132080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR12213OtherSTATE LICENSE