Individual
ZADHI Y MATIAS ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PR 460 KM 0.2, AGUADILLA, PR 00605-4055
(787) 658-0000
Mailing address
HC 8 BOX 24678, AGUADILLA, PR 00603-9650
(787) 431-7594
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23480
PR
363AM0700X
Medical Physician Assistant
000762-P.A.
PR
390200000X
Student in an Organized Health Care Education/Training Program
16151-I
PR
Other
Enumeration date
02/17/2021
Last updated
08/21/2023
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