Provider Demographics
NPI:1851611925
Name:NEUROSURGERY ASSOCIATES OF PUERTO RICO
Entity Type:Organization
Organization Name:NEUROSURGERY ASSOCIATES OF PUERTO RICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROSADO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-740-6402
Mailing Address - Street 1:68 CALLE SANTA CRUZ
Mailing Address - Street 2:SUITE 202 B TORRE SAN PABLO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7031
Mailing Address - Country:US
Mailing Address - Phone:787-740-6402
Mailing Address - Fax:787-764-3350
Practice Address - Street 1:68 CALLE SANTA CRUZ
Practice Address - Street 2:SUITE 202 B TORRE SAN PABLO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7031
Practice Address - Country:US
Practice Address - Phone:787-740-6402
Practice Address - Fax:787-764-3350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12462207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty