Provider Demographics
NPI:1053089631
Name:ROSADO BAEZ, ALEXSANDRA
Entity type:Individual
Prefix:DR
First Name:ALEXSANDRA
Middle Name:
Last Name:ROSADO BAEZ
Suffix:
Gender:
Credentials:
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 47
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-0047
Mailing Address - Country:US
Mailing Address - Phone:939-218-4115
Mailing Address - Fax:
Practice Address - Street 1:BO ANCONES CALLE FERROCARRIL #1
Practice Address - Street 2:ESQUINA GAMBOA OFICINA #3
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-892-3449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22453208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice