Healthcare Provider Details

I. General information

NPI: 1871231910
Provider Name (Legal Business Name): SOFIA ROSADO FERNANDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL UPR- DR. FEDERICO TRILLA KM 8.3 CALLE 3, AV. 65 DE INFANTERIA,
CAROLINA PR
00984
US

IV. Provider business mailing address

PO BOX 7004
PONCE PR
00732-7004
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-1800
  • Fax:
Mailing address:
  • Phone: 787-408-6409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number38257
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: