Provider Demographics
NPI:1568433779
Name:ARIAS, ROSA MARIA D (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSA MARIA
Middle Name:D
Last Name:ARIAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROSA MARIA
Other - Middle Name:M
Other - Last Name:DAYAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3860 CALLE FORTUNADA
Mailing Address - Street 2:STE 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:858-636-4300
Mailing Address - Fax:858-636-4319
Practice Address - Street 1:865 3RD AVE
Practice Address - Street 2:#101
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911
Practice Address - Country:US
Practice Address - Phone:619-426-7910
Practice Address - Fax:619-426-4953
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40781208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40781OtherMD LICENSE