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Individual

DR. MARIO IVAN ROSARIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CARR # 2 KM 94.1 BO. YEGUADA, CAMUY, PR 00627
(787) 356-3158
Mailing address
HC 3 BOX 12360, CAMUY, PR 00627-9814
(787) 356-3158

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21906
PR

Other

Enumeration date
06/11/2020
Last updated
09/10/2020
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