Provider Demographics
NPI:1255540191
Name:ROSAS, ANGELA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARIA
Last Name:ROSAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:EXT VILLA MILAGROS
Mailing Address - Street 2:CALLE 6 #19
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-510-6159
Mailing Address - Fax:787-812-3931
Practice Address - Street 1:EXT VILLA MILAGROS
Practice Address - Street 2:CALLE 6 #19
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-510-6159
Practice Address - Fax:787-812-3931
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12978208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice