Individual
MARIELA GINES ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL STUDENT
Contact information
Practice address
27 PRADERAS DEL PLATA, CAYEY, PR 00736-3160
(787) 329-0411
Mailing address
27 PRADERAS DEL PLATA, CAYEY, PR 00736-3160
(787) 329-0411
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6015299
DRIVER'S LICENSE
PR
Enumeration date
09/25/2021
Last updated
05/17/2023
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