Healthcare Provider Details

I. General information

NPI: 1912816877
Provider Name (Legal Business Name): GABRIEL I ROSADO ROJAS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E6 CALLE SANTA CRUZ SANTA ROSA
BAYAMON PR
00961-6905
US

IV. Provider business mailing address

HC 83 BOX 6073
VEGA ALTA PR
00692-9702
US

V. Phone/Fax

Practice location:
  • Phone: 787-330-2100
  • Fax:
Mailing address:
  • Phone: 787-330-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4703
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: