Individual
MARYROSE ROBLES LAGUIO-VILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, BOX 246, ROCHESTER, NY 14621-3001
(585) 922-4003
(585) 922-5168
Mailing address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 922-4003
(585) 922-5168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
262565
NY
207RI0200X
Infectious Disease Physician
Primary
262565
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2009
Last updated
02/23/2019
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