Individual
ROSA I MATEO
Active
Individual
ROSA I MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D0064147
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208476
PRIORITY PARTNERS
MD
05
—
409993100
—
MD
01
—
88675501
CAREFIRST BS
MD
01
—
E6360012
FEDERAL BS
MD
01
—
P00353286
PALMETTO GBA/RAILROAD MEDICARE
MD
Enumeration date
06/03/2006
Last updated
09/10/2009
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