Provider Demographics
NPI:1255587341
Name:ROSADO, JULIO C (DDS)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:C
Last Name:ROSADO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8763 SW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2005
Mailing Address - Country:US
Mailing Address - Phone:305-223-4546
Mailing Address - Fax:305-551-6826
Practice Address - Street 1:8763 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2005
Practice Address - Country:US
Practice Address - Phone:305-223-4546
Practice Address - Fax:305-551-6826
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN11685122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist