Basic Information
Provider Information
NPI: 1245519487
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROSADO BARRERAS
FirstName: LYMARIE
MiddleName: CRISTINA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 252 CALLE SAN JORGE STE 406
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009123241
CountryCode: US
TelephoneNumber: 7877260210
FaxNumber: 7877285136
Practice Location
Address1: ESC. DE MEDICINA RECINTO DE CIENCIAS MEDICAS
Address2: DPTO DE PEDIATRIA
City: SAN JUAN
State: PR
PostalCode: 009365087
CountryCode: US
TelephoneNumber: 7877773535
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/05/2011
LastUpdateDate: 02/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0203X18659PRY Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
2080P0203X036.145256ILN Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine

No ID Information.


Home