Provider Demographics
NPI:1548253537
Name:BOSQUES ROSADO, MARISEL (MD)
Entity type:Individual
Prefix:
First Name:MARISEL
Middle Name:
Last Name:BOSQUES ROSADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1573 CALLE PARANA
Mailing Address - Street 2:APT 202, PARADISE COURT I
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2982
Mailing Address - Country:US
Mailing Address - Phone:787-667-4225
Mailing Address - Fax:
Practice Address - Street 1:1573 CALLE PARANA
Practice Address - Street 2:APT 202, PARADISE COURT I
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2982
Practice Address - Country:US
Practice Address - Phone:787-667-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17066207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease