Individual
DR. LUIS A ROSADO CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 CALLE CARAZO, GUAYNABO, PR 00969-5644
(787) 720-6376
(787) 790-1570
Mailing address
PO BOX 965, GUAYNABO, PR 00970-0965
(787) 720-6376
(787) 790-1570
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
12896
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12896
MEDICAL LICENSE
PR
Enumeration date
08/10/2006
Last updated
04/13/2020
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