Individual
DR. SANTIAGO A ROSADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 824-6108
(904) 823-9613
Mailing address
216 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 824-6108
(904) 823-9613
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0059317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052672000
—
FL
Enumeration date
02/14/2006
Last updated
07/13/2010
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