Provider Demographics
NPI:1043256845
Name:ROSARIO, NORBERT (MD)
Entity type:Individual
Prefix:DR
First Name:NORBERT
Middle Name:
Last Name:ROSARIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:QQ10 CALLE 30A
Mailing Address - Street 2:EXTENSION ALTURAS DE FLAMBOYAN
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-8024
Mailing Address - Country:US
Mailing Address - Phone:787-740-6698
Mailing Address - Fax:787-764-3825
Practice Address - Street 1:QQ10 CALLE 30A
Practice Address - Street 2:EXTENSION ALTURAS DE FLAMBOYAN
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-8024
Practice Address - Country:US
Practice Address - Phone:787-740-6698
Practice Address - Fax:787-764-3825
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR8219208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice