Healthcare Provider Details

I. General information

NPI: 1871233429
Provider Name (Legal Business Name): ELOIM ROSADO MORALES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 349 KM 2 HM 7 CERRO LAS MESAS
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

HC 1 BOX 5092
RINCON PR
00677-8845
US

V. Phone/Fax

Practice location:
  • Phone: 787-834-6000
  • Fax:
Mailing address:
  • Phone: 787-458-5863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number025104
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: