Provider Demographics
NPI:1538681309
Name:DEL ROSARIO, CATHERINE ALEXANDRA (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ALEXANDRA
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-358-7300
Mailing Address - Fax:515-358-7341
Practice Address - Street 1:2755 GATEWAY DR
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:IA
Practice Address - Zip Code:50047-2302
Practice Address - Country:US
Practice Address - Phone:515-358-7300
Practice Address - Fax:515-358-7341
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-10815207Q00000X
IAMD-46594207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine