Provider Demographics
NPI:1467636852
Name:SANTA-ROSARIO, JUAN CARLOS (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:CARLOS
Last Name:SANTA-ROSARIO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1783 CALLE SANTA AGUEDA
Mailing Address - Street 2:PORTALES DE ARCOBALENO APT. 804
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4358
Mailing Address - Country:US
Mailing Address - Phone:787-649-6724
Mailing Address - Fax:
Practice Address - Street 1:AVE SANCHEZ VILELLA ESQ PR 190
Practice Address - Street 2:PLAZOLETA LA CERAMICA SUITE 2-6
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-1977
Practice Address - Country:US
Practice Address - Phone:855-711-2673
Practice Address - Fax:787-710-7656
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2019-01-24
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Provider Licenses
StateLicense IDTaxonomies
PR17535207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology