Individual
ROSARIO A CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4735
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7861
(207) 298-0210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125063940
IL
2085R0202X
Diagnostic Radiology Physician
036-148772
IL
2085R0202X
Diagnostic Radiology Physician
23697
NH
2085R0202X
Diagnostic Radiology Physician
Primary
MD26694
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710288079
—
ME
Enumeration date
07/24/2007
Last updated
03/20/2023
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