Doctor Name: | GLADYNETTE ROSARIO |
NPI Number: | 1205822731 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 16005 |
Business Practice Address: | Galerias De Escorial Shopp. Center 5725 Blvd. Media Luna Suite 5 Carolina, PR - 009873515 |
Business Phone Number: | 7875796490 |
Business Fax Number: | |
Mailing Address: | Po Box 1893, CAROLINA |
State: | PR |
Postal Code: | 009841893 |
Phone Number: | 7877696684 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |