Provider Demographics
NPI:1841259231
Name:DEL ROSARIO, ALEXANDER R (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:R
Last Name:DEL ROSARIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:39000 BOB HOPE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3221
Mailing Address - Country:US
Mailing Address - Phone:760-837-8366
Mailing Address - Fax:760-837-8367
Practice Address - Street 1:1111 E TAHQUITZ CANYON WAY STE 120
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-0116
Practice Address - Country:US
Practice Address - Phone:760-837-8366
Practice Address - Fax:760-837-8367
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA60236207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA60236OtherSTATE LICENSE
CA954745787OtherFEDERAL TAX ID
CAA60236OtherSTATE LICENSE
CAA60236OtherSTATE LICENSE