Healthcare Provider Details

I. General information

NPI: 1265343768
Provider Name (Legal Business Name): ROSARIO MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB RUSSE CALLE LIRIOS 51
MOROVIS PR
00687
US

IV. Provider business mailing address

URB RUSSE CALLE LIRIOS 51
MOROVIS PR
00687
US

V. Phone/Fax

Practice location:
  • Phone: 787-689-0162
  • Fax:
Mailing address:
  • Phone: 787-689-0162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: KELVIN Y ROSARIO RODRIGUEZ
Title or Position: PRESIDENTE
Credential:
Phone: 787-689-0162