Individual
EDGARDO LUIS ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
903 ALAMEDA, URB. VILLA GRANADA, SAN JUAN, PR 00923
(787) 758-2525
Mailing address
903 ALAMEDA, URB. VILLA GRANADA, SAN JUAN, PR 00923
(787) 758-2525
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
1381
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1381
PROFESSIONAL LICENCE
PR
Enumeration date
05/01/2007
Last updated
07/08/2007
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