Provider Demographics
NPI:1992772545
Name:ROSARIO, MARIA MARGARITA (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:MARGARITA
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3893
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-3893
Mailing Address - Country:US
Mailing Address - Phone:787-895-6125
Mailing Address - Fax:787-895-6125
Practice Address - Street 1:B10 CALLE CALIFORNIA
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-1847
Practice Address - Country:US
Practice Address - Phone:787-895-6125
Practice Address - Fax:787-895-6125
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10221146D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF18905Medicare UPIN