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NPI 1710612296

NPI 1710612296 : PALOMA ISABEL ROSADO MD : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1710612296
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    Entity Type          |    Individual 
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    Provider Name        |    PALOMA ISABEL ROSADO MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/19/2022
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    Last Update Date     |    01/27/2025
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Provider Practice Location Address
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    Address Line         |    CALLE SAN GUILLERMO, COOP JARDINES DE SAN IGNACIO 204-A
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00927
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    Country              |    US
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    Telephone            |    787-662-6537
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    HACIENDA MARGARITA #45 
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    City                 |    LUQUILLO
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    State                |    PR
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    Zip                  |    00773
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    Country              |    US
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    Telephone            |    787-662-6537
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    202C00000X
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    Taxonomy Name        |    Independent Medical Examiner Physician
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    License Number       |    24182
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    License Number State |    PR
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Taxonomy #2
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    24182
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    License Number State |    PR
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