Provider Demographics
NPI:1417982554
Name:MIRO ROSADO, AURELIO (MD)
Entity Type:Individual
Prefix:DR
First Name:AURELIO
Middle Name:
Last Name:MIRO 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:PO BOX 800676
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00780-0676
Mailing Address - Country:US
Mailing Address - Phone:787-345-1691
Mailing Address - Fax:787-813-1512
Practice Address - Street 1:CARR #2 KM 47.7
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-621-3300
Practice Address - Fax:787-813-1512
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6386207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology