Individual
DR. JONATHAN RIVERA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17280
PR
Other
Enumeration date
10/03/2008
Last updated
03/24/2017
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