Rafael A. Rosado-Cosme, MD provides family medicine in Alpine at the 1620 Alpine Blvd medical complex, where multiple healthcare disciplines converge in a single East County campus. His primary care practice manages patients from pediatric well-child visits through geriatric care coordination, with age-specific referrals available at Dr. Roula S. Adjan, MD in the same building. A 1991 graduate of the University of Puerto Rico School of Medicine, Dr. Rosado-Cosme completed his family medicine residency at the University of Puerto Rico and later earned a Master of Health Administration with a gerontology concentration from the University of Phoenix in 2010. Behavioral health components of primary care, including depression screening and cognitive assessments, connect to practitioners such as Christiana K. Silva on Woodside Avenue in Lakeside for ongoing therapeutic support. The MHA credential adds health-systems perspective to clinical decision-making, particularly in care transitions for elderly patients managing multiple chronic conditions. Highest-complexity services include multi-drug regimen reconciliation for polypharmacy patients and coordinated specialist referral packages for conditions requiring cardiology, endocrinology, or nephrology intervention.