Individual
MAURICIO LA ROSA DE LOS RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(215) 518-0694
Mailing address
309 WALL ST APT 2A, KINGSTON, NY 12401-3960
(215) 518-0694
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4940
AL
207V00000X
Obstetrics & Gynecology Physician
MD61465946
WA
207V00000X
Obstetrics & Gynecology Physician
MT202470
PA
207VM0101X
Maternal & Fetal Medicine Physician
MD61465946
WA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
S2382
TX
390200000X
Student in an Organized Health Care Education/Training Program
MT202470
PA
Other
Enumeration date
08/30/2012
Last updated
04/16/2025
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