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General NPI Number Information
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NPI Number | 1811201361
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Entity Type | Individual
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Provider Name | LUIS ROBERTO ROSARIO MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 515 W 59TH ST APT 30J
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 787-597-2653
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Fax |
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Provider Business Mailing Address
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Address Line | 515 W 59TH ST APT 30J
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City | NEW YORK
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State | NY
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Zip | 10019-1031
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Country | US
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Telephone | 787-597-2653
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 01080077
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | HI-MD17345-A
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MC-1958
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME126023
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License Number State | FL
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