Provider Demographics
NPI:1992195580
Name:ROSE HEALTH GROUP INC
Entity Type:Organization
Organization Name:ROSE HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:DOLORES
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-656-2462
Mailing Address - Street 1:13301 SW 132ND AVE UNIT 111
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6189
Mailing Address - Country:US
Mailing Address - Phone:786-656-2462
Mailing Address - Fax:305-442-1334
Practice Address - Street 1:13301 SW 132ND AVE UNIT 111
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6189
Practice Address - Country:US
Practice Address - Phone:786-656-2462
Practice Address - Fax:305-442-1334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy