Basic Information
Provider Information
NPI: 1326347964
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROSADO
FirstName: NORINE
MiddleName: DEL CARMEN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6101 BLUE LAGOON DR STE 400
Address2:  
City: MIAMI
State: FL
PostalCode: 331262051
CountryCode: US
TelephoneNumber: 3055002000
FaxNumber:  
Practice Location
Address1: 1411 N FLAGLER DR STE 6800
Address2:  
City: WEST PALM BEACH
State: FL
PostalCode: 334013417
CountryCode: US
TelephoneNumber: 5618320183
FaxNumber: 5618327955
Other Information
ProviderEnumerationDate: 03/22/2011
LastUpdateDate: 12/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XME118785FLY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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