Healthcare Provider Details

I. General information

NPI: 1891733978
Provider Name (Legal Business Name): ROBERT H. ROSENBERG D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 W 49TH ST
HIALEAH FL
33012-3709
US

IV. Provider business mailing address

2851 NE 183RD ST SUITE 902
AVENTURA FL
33160-2104
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-8648
  • Fax: 305-817-6490
Mailing address:
  • Phone: 305-674-8648
  • Fax: 305-817-6490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberOS2063
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberOS2063
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License NumberOS2063
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberOS2063
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberOS2063
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License NumberOS2063
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: