Healthcare Provider Details

I. General information

NPI: 1881898138
Provider Name (Legal Business Name): FRANCISCO RIVERA ROSADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 CALLE 65 DE INFANTERIA
ANASCO PR
00610
US

IV. Provider business mailing address

PO BOX 163
ANASCO PR
00610-0163
US

V. Phone/Fax

Practice location:
  • Phone: 787-826-2145
  • Fax: 787-826-7411
Mailing address:
  • Phone: 787-826-2145
  • Fax: 787-826-7411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number3716
License Number StatePR

VIII. Authorized Official

Name: DR. FRANCISCO A RIVERA-ROSADO
Title or Position: DUENO
Credential:
Phone: 787-826-2145