Individual
JOSE ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR. 31 KM. 4.0, NAGUABO, PR 00718
(787) 874-3152
Mailing address
URB. SANTA ISIDRA 3, A-18, CALLE B, FAJARDO, PR 00738
(787) 719-1593
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15811-I
PR
208D00000X
General Practice Physician
Primary
ACN1502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116450600
—
FL
Enumeration date
07/14/2022
Last updated
09/18/2024
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