Provider Demographics
NPI:1831262500
Name:ROSARIO, ARNALDO LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:ARNALDO
Middle Name:LUIS
Last Name: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 10000
Mailing Address - Street 2:SUITE 093
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-0000
Mailing Address - Country:US
Mailing Address - Phone:787-738-3011
Mailing Address - Fax:787-263-8466
Practice Address - Street 1:LUIS BARRERAS 174
Practice Address - Street 2:OFFICE B1
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-0000
Practice Address - Country:US
Practice Address - Phone:787-738-3011
Practice Address - Fax:787-263-8466
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9825208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9825Medicare ID - Type Unspecified
G66293Medicare UPIN