Provider Demographics
NPI:1710612296
Name:ROSADO, PALOMA ISABEL (MD)
Entity Type:Individual
Prefix:
First Name:PALOMA
Middle Name:ISABEL
Last Name:ROSADO
Suffix:
Gender:F
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:CALLE SAN GUILLERMO, COOP JARDINES DE SAN IGNACIO
Mailing Address - Street 2:204-A
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:787-662-6537
Mailing Address - Fax:
Practice Address - Street 1:CALLE SAN GUILLERMO, COOP JARDINES DE SAN IGNACIO
Practice Address - Street 2:204-A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-662-6537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program