Individual
PEDRO ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4792 GRAND HERON CT, NORCROSS, GA 30092-4921
(770) 298-7672
Mailing address
4792 GRAND HERON CT, NORCROSS, GA 30092-4921
(770) 298-7672
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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