MEDICARE: DR. JULIO E ROSADO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	12462	PR

General Provider Information

NPI Number	:	1255381208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIO E ROSADO M.D.

Provider Business Mailing Address
First Line	:	TORRE SAN PABLO
Second Line	:	SANTA CRUZ # 68 SUITE 202-B
City	:	BAYAMON
State	:	PR
Zip	:	00961-7031
Country	:	US
Telephone Number	:	787-740-6402
Fax Number	:	787-740-6403

Provider Business Practice Location Address
First Line	:	TORRE SAN PABLO
Second Line	:	STREET SANTA CRUZ # 68 SUITE 202-B
City	:	BAYAMON
State	:	PR
Zip	:	00961-7031
Country	:	US
Telephone Number	:	787-740-6402
Fax Number	:	787-740-6403

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	07/08/2007

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