Individual
ISMAEL ROSADO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22191
PR
Other
Enumeration date
07/06/2018
Last updated
02/26/2021
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