MEDICARE: DR. ADALBERTO TOSADO 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	208000000X	Pediatrics Physician	11672	PR

General Provider Information

NPI Number	:	1649275892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADALBERTO TOSADO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 141298
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00614-1298
Country	:	US
Telephone Number	:	787-880-6141
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 AVE BARBOSA
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00612-4380
Country	:	US
Telephone Number	:	787-880-6141
Fax Number	:

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	10/11/2012

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