Provider Demographics
NPI:1487673307
Name:PEREZ ROSADO, JUAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:F
Last Name:PEREZ 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:P.O. BOX 2188
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-2188
Mailing Address - Country:US
Mailing Address - Phone:787-862-8254
Mailing Address - Fax:787-862-2309
Practice Address - Street 1:BO. FRANQUEZ CARR. 634 KM. 4.9
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687
Practice Address - Country:US
Practice Address - Phone:787-594-4080
Practice Address - Fax:787-862-2309
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12134207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
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