| Doctor Name: | MRS. MILAGROS ROSADO ELIA |
| NPI Number: | 1194072744 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 004969 |
| Business Practice Address: | 1465 E Putnam Ave #122 Old Greenwich, CT - 068701338 |
| Business Phone Number: | 2036373080 |
| Business Fax Number: | |
| Mailing Address: | 1465 E Putnam Ave, #122 OLD GREENWICH |
| State: | CT |
| Postal Code: | 068701338 |
| Phone Number: | 2036373080 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2012 |
| NPI Last Update Date: | 08/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 004969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |