Individual
JUAN CARLOS LA ROSA PEDROSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
15523 SW 71ST ST, MIAMI, FL 33193-2104
(971) 227-4063
(971) 227-4063
Mailing address
15523 SW 71ST ST, MIAMI, FL 33193-2104
(971) 227-4063
(971) 227-4063
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10789
TX
Other
Enumeration date
09/12/2011
Last updated
12/28/2016
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