Provider Demographics
NPI:1922295930
Name:ROSADO ADAMES, NOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:
Last Name:ROSADO ADAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NOEL
Other - Middle Name:
Other - Last Name:ROSADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7139
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7139
Mailing Address - Country:US
Mailing Address - Phone:787-820-8989
Mailing Address - Fax:
Practice Address - Street 1:METRO PAVIA CLINIC
Practice Address - Street 2:AVE INDUSTRIAL VICTOR ROJAS
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-820-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0076154207W00000X, 207W00000X, 207W00000X
PR17895207WX0120X, 207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR17895OtherMEDICAL LICENSE