Individual
LUIS R. ROSA TOLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
B43 CALLE ELLIOT VELEZ, URB. ATENAS, MANATI, PR 00674-4615
(787) 854-4122
(787) 854-3270
Mailing address
HC 4 BOX 30335, HATILLO, PR 00659-9408
(787) 854-4122
(787) 854-3270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11488
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065970
CRUZ AZUL
PR
01
—
1297
PMC MEDICARE CHOICE
PR
01
—
2-11488
CIGNA
PR
01
—
3603105
ACCA
PR
01
—
6740012
HUMANA HEALTH PLANS
PR
01
—
8-4426
SSS
PR
01
—
990183
HEALTH PLUS
PR
01
—
995224
MMM
PR
01
—
N221
INTERNATIONAL MEDICAL CAR
PR
01
—
PE2903
PALIC
PR
Enumeration date
06/02/2006
Last updated
08/03/2010
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