Provider Demographics
NPI:1831180108
Name:COX-ROSARIO, RAFAEL A (MD)
Entity type:Individual
Prefix:MR
First Name:RAFAEL
Middle Name:A
Last Name:COX-ROSARIO
Suffix:
Gender:M
Credentials:MD
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 366676
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-6676
Mailing Address - Country:US
Mailing Address - Phone:787-765-2845
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF PUERTO RICO
Practice Address - Street 2:SCHOOL OF MEDICINE MEDICAL SCIENCES CAMPUS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-765-2845
Practice Address - Fax:787-274-8156
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR03735207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
D08656Medicare UPIN
9 4862Medicare ID - Type Unspecified