Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | ME90872 | FL |
NPI | 1043312853 |
---|---|
Provider Name | Reinaldo Rosario |
First Address | Fort Lauderdale, FL 33316-1113 |
Second Address | Fort Lauderdale, FL 33316-1113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 17/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
275542400 | (05) | FL |
I60816 | (02) | FL |