Dr. Mario Ivan Rosario
General Practice Physician
Carr # 2 Km 94.1 Bo. Yeguada
Camuy
, Puerto Rico 00627
Dr. Mario Ivan Rosario
General Practice Physician
Carr # 2 Km 94.1 Bo. Yeguada
Camuy
, Puerto Rico 00627
(787) 356-3158
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Mario Ivan Rosario
- Hc 3 Box 12360
- Camuy, PR
- Zip : 00627-9814
- Phone : (787) 356-3158
Second Address
- Dr. Mario Ivan Rosario
- Carr # 2 Km 94.1 Bo. Yeguada
- Camuy, PR
- Zip : 00627
- Phone : (787) 356-3158
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 21906 | PR |
National Provider Identifier
| NPI | 1023633468 |
|---|---|
| Provider Name | Dr. Mario Ivan Rosario |
| First Address | Camuy, PR 00627-9814 |
| Second Address | Camuy, PR 00627 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2020 |
| Last Update Date | 10/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.