Provider Demographics
NPI:1891161675
Name:TAVERAS-DELGADO, ROSA CAROLINA (MD)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:CAROLINA
Last Name:TAVERAS-DELGADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 HEALING WAY STE 303
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-5471
Mailing Address - Country:US
Mailing Address - Phone:813-929-5380
Mailing Address - Fax:
Practice Address - Street 1:2700 HEALING WAY STE 303
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-5471
Practice Address - Country:US
Practice Address - Phone:813-929-5380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY282127208000000X
FLME150786208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics