Provider Demographics
NPI:1306824552
Name:HUGUET, ROSA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:MARIA
Last Name:HUGUET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROSA
Other - Middle Name:MARIA
Other - Last Name:HUGUET-CEDANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6741 SW 24TH ST STE 38
Mailing Address - Street 2:PREMIER MEDICAL CENTER
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1767
Mailing Address - Country:US
Mailing Address - Phone:305-262-5476
Mailing Address - Fax:305-262-5520
Practice Address - Street 1:6741 SW 24TH ST STE 38
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1767
Practice Address - Country:US
Practice Address - Phone:305-262-5476
Practice Address - Fax:305-262-5520
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-07
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME136955208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013036500Medicaid
FLIB0592OtherMEDICARE
PRI-18049Medicare UPIN