Individual
CINDY GRACE DE LA ROSA
Active
Individual
CINDY GRACE DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.092951
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942630348
GROUP NPI - GRAND LAKE FAMILY PRACTICE & PEDIATRICS
OH
05
—
2927613
—
OH
01
—
9934723
GROUP PTAN
OH
Enumeration date
12/05/2005
Last updated
09/12/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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