Provider Demographics
NPI:1689644759
Name:ROSARIO, ALBERTO J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:J
Last Name:ROSARIO
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 2324
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-2324
Mailing Address - Country:US
Mailing Address - Phone:787-884-9999
Mailing Address - Fax:787-915-8581
Practice Address - Street 1:SAN SALVADOR
Practice Address - Street 2:CALLE MARGINAL B5 SUITE C
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-9999
Practice Address - Fax:787-915-8581
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14471208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR22194Medicare ID - Type Unspecified