Individual
JUAN ANGEL DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
URB. CAMINO DEL SOL, 420 CAMINO REAL, VEGA BAJA, PR 00693-4177
(787) 807-5437
Mailing address
URB. CAMINO DEL SOL, 420 CAMINO REAL, VEGA BAJA, PR 00693-4177
(787) 807-5437
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2176650
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14417
LICENSE
PR
Enumeration date
04/25/2006
Last updated
09/28/2012
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