Individual
JORGE NELSON DE LA ROSA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13335 SW 124TH ST STE 212, MIAMI, FL 33186-7515
(305) 433-2488
(786) 732-0460
Mailing address
13335 SW 124TH ST STE 212, MIAMI, FL 33186-7515
(305) 433-2488
(786) 732-0460
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1357
FL
Other
Enumeration date
05/26/2020
Last updated
07/12/2025
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