Provider Demographics
NPI:1356847024
Name:FLORANTE, ROSARIO CORAZON (MD)
Entity Type:Individual
Prefix:
First Name:ROSARIO CORAZON
Middle Name:
Last Name:FLORANTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROSARIO CORAZON
Other - Middle Name:
Other - Last Name:CATALAN FLORANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1011 RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-5134
Mailing Address - Country:US
Mailing Address - Phone:510-625-2856
Mailing Address - Fax:877-738-4262
Practice Address - Street 1:1011 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-5134
Practice Address - Country:US
Practice Address - Phone:510-625-2856
Practice Address - Fax:877-738-4262
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA173829207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program