Provider Demographics
NPI:1386861573
Name:ROSAS, ARTURO HORACIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:HORACIO
Last Name:ROSAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 432162
Mailing Address - Street 2:
Mailing Address - City:SAN YSIDRO
Mailing Address - State:CA
Mailing Address - Zip Code:92143-2162
Mailing Address - Country:US
Mailing Address - Phone:619-934-3618
Mailing Address - Fax:
Practice Address - Street 1:BUGAMVILLAS 50
Practice Address - Street 2:205
Practice Address - City:TIJUANA
Practice Address - State:BAJA CALIFORNIA
Practice Address - Zip Code:22240
Practice Address - Country:MX
Practice Address - Phone:01152664-681-6382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA729513207VH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine