Individual
JESUS JOEL ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
AVE. BARBOSA # 414, SAN JUAN, PR 00928
(787) 763-7575
(787) 772-4560
Mailing address
CARRETERA 165 KM.10.5, BUZON 5085 BO. CONTONO SECTOR CIELITO, TOA ALTA, PR 00953
(787) 225-3422
(787) 772-4560
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
4067265
PR
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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