Individual
DR. LUIS ROBERTO ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-1000
(309) 672-5522
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
HI-MD17345-A
NE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01080077
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MC-1958
ID
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME126023
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2010
Last updated
03/28/2026
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