Individual
DR. SANDRA NIEVES ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
366 MARKET ST, SENECA, SC 29678-0926
(864) 364-6380
(833) 853-9422
Mailing address
366 MARKET ST, SENECA, SC 29678-0926
(864) 364-6380
(833) 853-9422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247230
NY
207R00000X
Internal Medicine Physician
Primary
85189
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCM048L064
MEDICARE
SC
Enumeration date
03/07/2008
Last updated
08/15/2022
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