Provider Demographics
NPI:1972643013
Name:ROSADO, JANET A
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:A
Last Name:ROSADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND. PONTEZUELA EDIF.B-3 APT. 1G
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983
Mailing Address - Country:US
Mailing Address - Phone:787-726-0295
Mailing Address - Fax:787-726-8768
Practice Address - Street 1:2428 CALLE LOIZA
Practice Address - Street 2:PUNTA LAS MARIAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00913-4731
Practice Address - Country:US
Practice Address - Phone:787-726-0295
Practice Address - Fax:787-726-8768
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4359183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4359OtherPHARMACY TECHNICIAN