Provider Demographics
NPI:1578540167
Name:ROSARIO, ELSIE L (MD)
Entity Type:Individual
Prefix:DR
First Name:ELSIE
Middle Name:L
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:E18 CALLE FLAMBOYAN
Mailing Address - Street 2:MIRADOR ECHEVARRIA
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-4509
Mailing Address - Country:US
Mailing Address - Phone:787-263-1620
Mailing Address - Fax:787-852-8168
Practice Address - Street 1:AVE LUCIA VAZQUEZ
Practice Address - Street 2:157 INTERIOR
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-4509
Practice Address - Country:US
Practice Address - Phone:787-263-1620
Practice Address - Fax:787-852-8168
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-27
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR10870207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH82120Medicare UPIN
PR0083629Medicare ID - Type UnspecifiedPROVIDER NUMBER