Individual
JOSE ROSA-OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155
(305) 669-6505
(305) 669-6447
Mailing address
PO BOX 557367, MIAMI, FL 33255-7367
(786) 624-5845
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207P00000X
Emergency Medicine Physician
ME78113
FL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
ME78113
FL
208000000X
Pediatrics Physician
ME78113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258545600
—
FL
Enumeration date
05/05/2006
Last updated
06/13/2018
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