Healthcare Provider Details

I. General information

NPI: 1609798016
Provider Name (Legal Business Name): GARCIA ROSARIO PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2532 GRAND CONCOURSE FL 2
BRONX NY
10458-4902
US

IV. Provider business mailing address

2532 GRAND CONCOURSE FL 2
BRONX NY
10458-4902
US

V. Phone/Fax

Practice location:
  • Phone: 862-316-4740
  • Fax:
Mailing address:
  • Phone: 862-316-4740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MURIEL BIBELY GARCIA ROSARIO
Title or Position: PEDIATRICIAN
Credential: MD
Phone: 862-316-4740