1033103080 NPI number — DR. REY FRANCISCO ROSARIO M.D.

Table of content: DR. REY FRANCISCO ROSARIO M.D. (NPI 1033103080)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033103080 NPI number — DR. REY FRANCISCO ROSARIO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROSARIO
Provider First Name:
REY
Provider Middle Name:
FRANCISCO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033103080
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1250 E CLIFF DR
Provider Second Line Business Mailing Address:
SUITE 3E
Provider Business Mailing Address City Name:
EL PASO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79902-4850
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-626-5548
Provider Business Mailing Address Fax Number:
915-626-5411

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1250 E CLIFF DR
Provider Second Line Business Practice Location Address:
SUITE 3E
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79902-4850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-626-5548
Provider Business Practice Location Address Fax Number:
915-626-5411
Provider Enumeration Date:
09/06/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  M1325 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RN0300X , with the licence number: MD2013-0819 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: M1325 . This is a "PHYSICIAN LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".