1619035995 NPI number — MR. JOSE MANUEL DE LA ROSA MD

Table of content: MR. JOSE MANUEL DE LA ROSA MD (NPI 1619035995)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619035995 NPI number — MR. JOSE MANUEL DE LA ROSA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DE LA ROSA
Provider First Name:
JOSE
Provider Middle Name:
MANUEL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DE LA ROSA
Provider Other First Name:
JOSE
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1619035995
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8013
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUMACAO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00792-8013
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-285-0115
Provider Business Mailing Address Fax Number:
787-850-5711

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PLAZA DEL MAR SUITE
Provider Second Line Business Practice Location Address:
1 ROAD 3 KM 86.5
Provider Business Practice Location Address City Name:
HUMACAO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-285-0115
Provider Business Practice Location Address Fax Number:
787-850-5711
Provider Enumeration Date:
12/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  5123 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)