Individual
LUIS J ROSADO-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3987 E PARADISE FALLS DR, SUITE 118, TUCSON, AZ 85712-6692
(520) 408-6955
(520) 408-9537
Mailing address
PO BOX 29675, DEPT 2032, PHOENIX, AZ 85038-9675
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
18525
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18525
AZ MEDICAL LICENSE
AZ
05
—
290891
—
AZ
01
—
AZ0719260
BCBSAZ
AZ
Enumeration date
09/21/2006
Last updated
04/10/2013
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