Individual
CARLOS RUBEN BERRIOS ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 MALABAR RD, MALABAR, FL 32950-3140
(321) 434-8226
(321) 434-8227
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-8226
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME144194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105745900
—
FL
01
—
MA532
MEDICARE
FL
Enumeration date
06/12/2008
Last updated
05/08/2023
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