Individual
MICHELLE MARIE MARQUEZ ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CARR 188 # 187, LOIZA, PR 00772-1850
(787) 876-2042
(787) 256-1900
Mailing address
#64B GOYCO STREET, CAGUAS, PR 00725
(787) 746-2530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15245-I
PR
207Q00000X
Family Medicine Physician
22356
PR
207Q00000X
Family Medicine Physician
34968
PR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
22356
PR
390200000X
Student in an Organized Health Care Education/Training Program
22356
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5027105
LICENSE IDENTIFICATION
PR
Enumeration date
10/04/2018
Last updated
01/22/2025
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