Healthcare Provider Details

I. General information

NPI: 1689644759
Provider Name (Legal Business Name): ALBERTO J ROSARIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SAN SALVADOR CALLE MARGINAL B5 SUITE C
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 2324
MANATI PR
00674-2324
US

V. Phone/Fax

Practice location:
  • Phone: 787-884-9999
  • Fax: 787-915-8581
Mailing address:
  • Phone: 787-884-9999
  • Fax: 787-915-8581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number14471
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: