MEDICARE: JORGE A ROSARIO-MULINELLI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0206X	Pediatric Gastroenterology Physician	ME126271	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME126271	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861495350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE A ROSARIO-MULINELLI M.D.

Provider Business Mailing Address
First Line	:	9500 S DADELAND BLVD
Second Line	:	STE 802
City	:	MIAMI
State	:	FL
Zip	:	33156-2824
Country	:	US
Telephone Number	:	305-468-4185
Fax Number	:	305-675-3378

Provider Business Practice Location Address
First Line	:	9980 CENTRAL PARK BLVD N
Second Line	:	STE 316
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1762
Country	:	US
Telephone Number	:	561-206-6064
Fax Number	:	561-206-6068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	05/13/2016

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Directions to “ JORGE A ROSARIO-MULINELLI M.D.” Practice Location

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