Jose Manuel De La Rosa, MD
Pediatrics in Humacao, PR. Individual provider (NPI-1).
NPI number1619035995
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619035995
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jose Manuel De La Rosa
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 5123 | PR | Yes |
Other names
- Jose M De La Rosa (Professional Name)
Practice location
Plaza Del Mar Suite1 Road 3 Km 86.5
Humacao, PR 00791
Phone 787-285-0115 · Fax 787-850-5711
Mailing address
Po Box 8013Humacao, PR 00792-8013
Phone 787-285-0115 · Fax 787-850-5711
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