Provider Demographics
NPI:1922084995
Name:ORSINI CHEVERE, ROSA E (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:E
Last Name:ORSINI CHEVERE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:B6 CALLE SANTA CATALINA
Mailing Address - Street 2:PASEO SAN JUAN
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6504
Mailing Address - Country:US
Mailing Address - Phone:787-748-0207
Mailing Address - Fax:787-748-0936
Practice Address - Street 1:37 1/2 PONCE DE LEON AVE
Practice Address - Street 2:HOSPITAL AUXILIO MUTUO
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917-1104
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:787-771-7872
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2017-01-10
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Provider Licenses
StateLicense IDTaxonomies
PR8767207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR80783OtherSSS PROVIDER
PR80783Medicare ID - Type UnspecifiedMEDICARE PROVIDER
PR80783OtherSSS PROVIDER