Provider Demographics
NPI:1255381208
Name:ROSADO, JULIO E (MD)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:E
Last Name:ROSADO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:TORRE SAN PABLO
Mailing Address - Street 2:SANTA CRUZ # 68 SUITE 202-B
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:787-740-6403
Practice Address - Street 1:TORRE SAN PABLO
Practice Address - Street 2:STREET SANTA CRUZ # 68 SUITE 202-B
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:787-740-6403
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12462207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH82246Medicare UPIN
PR0089086Medicare ID - Type Unspecified