Provider Demographics
NPI:1386654242
Name:ROSADO, ARIEL (MD)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:ROSADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 DE DIEGO
Mailing Address - Street 2:TORRE SAN FRANCISCO STE 201
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-763-0909
Mailing Address - Fax:
Practice Address - Street 1:TORRE SAN FRANCISCO
Practice Address - Street 2:369 DE DIEGO SUITE 609
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-3004
Practice Address - Country:US
Practice Address - Phone:787-763-0909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14018207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4058OtherPREFERRED MEDICARE CHOICE
PR825503OtherMEDICARE Y MUCHO MAS
PRPE5001OtherPALIC PROVIDER
PRA335OtherFIRST MEDICAL
PR100818OtherCRUZ AZUL DE PR
PR23291OtherTRIPLE S
PR212919OtherPREFERRED HEALTH
PR4314018OtherUIA
PR4314018OtherUIA
PRI42801Medicare UPIN