Individual
DR. MANUEL SILVA ROSE
Active
Individual
DR. MANUEL SILVA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME51729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2667
BCBS PROVIDER ID
FL
01
—
V2668
BCBS PROVIDER ID
FL
01
—
V2669
BCBS PROVIDER ID
FL
01
—
V3015
BCBS PROVIDER ID
FL
01
—
V3119
BCBS PROVIDER ID
FL
Enumeration date
07/20/2006
Last updated
02/28/2008
Update your record
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