| Cristobal R. Rosario M.d., P.a. | |
|
3890 Tampa Road Suite 307 Palm Harbor FL 34684-3677 | |
| (727) 786-6155 | |
| (727) 781-9899 |
| Full Name | Cristobal R. Rosario M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3890 Tampa Road, Palm Harbor, Florida |
| Authorized Official Name and Position | Cristobal R Rosario (M.D.) |
| Authorized Official Contact | 7277866155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cristobal R. Rosario M.d., P.a. 3890 Tampa Road Suite 307 Palm Harbor FL 34684-3677 Ph: (727) 786-6155 | Cristobal R. Rosario M.d., P.a. 3890 Tampa Road Suite 307 Palm Harbor FL 34684-3677 Ph: (727) 786-6155 |
| NPI Number | 1124252838 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 05/08/2009 |
| Medicare PECOS PAC ID | 7315191996 |
|---|---|
| Medicare Enrollment ID | O20130207000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124252838 | NPI | - | NPPES |
| 264028700 | Medicaid | FL | |
| 378616100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0068810 (Florida) | Primary |
| Provider Name | Cristobal R Rosario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104808153 PECOS PAC ID: 0749299923 Enrollment ID: I20060417000455 |
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