Doctor Name: | DR. RICHARD GRAULAU ROSARIO |
NPI Number: | 1730480989 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 18013 |
Business Practice Address: | Urb. Jardines De Country Club Calle 151 Cm-23 Carolina, PR - 009832041 |
Business Phone Number: | 7874240170 |
Business Fax Number: | |
Mailing Address: | 215 Urb Sierra Real, CAYEY |
State: | PR |
Postal Code: | 007369004 |
Phone Number: | 7874240170 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2010 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |