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NPI Code Detail

MEDICARE: DR. CARMEN IRIS ROSADO DDS

MEDICARE:  DR. CARMEN IRIS ROSADO  DDS
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
1122300000XDentist2459PR

General Provider Information

NPI Number : 1396951059
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARMEN IRIS ROSADO DDS
Provider Business Mailing Address
First Line : 444THST NC-9 COUNTRY CLUB
Second Line :
City : CAROLINA
State : PR
Zip : 00924
Country : US
Telephone Number : 787-751-6767
Fax Number :
Provider Business Practice Location Address
First Line : 444THST NC-9 COUNTRY CLUB
Second Line :
City : CAROLINA
State : PR
Zip : 00924
Country : US
Telephone Number : 787-751-6767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CARMEN IRIS ROSADO DDS” Practice Location

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