Organization
MI MEDICO PRIMARIO, LLC
Active
Organization
MI MEDICO PRIMARIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANTONIO ROSARIO MD (PRESIDENT)
(787) 403-6333
Entity
Organization
Contact information
Practice address
410 AVE GENERAL VALERO STE 307, FAJARDO, PR 00738-3982
(787) 863-4058
(787) 801-7344
Mailing address
410 AVE GENERAL VALERO STE 307, FAJARDO, PR 00738-3982
(787) 863-4058
(787) 801-7344
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
02/03/2020
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