Organization
PEDRO U DE LA ROSA COSTA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO U DE LA ROSA COSTA MD (PRESIDENT)
(305) 273-4777
Entity
Organization
Contact information
Practice address
1423 ALHAMBRA CIRCLE, CORAL GABLES, FL 33134-3523
(305) 273-4777
Mailing address
8525 SW 92 ST, STE D-15, MIAMI, FL 33156-7356
(305) 273-4777
(304) 273-4770
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME47729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044901600
—
FL
Enumeration date
09/14/2009
Last updated
09/14/2009
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