Provider Demographics
NPI:1255643474
Name:DEL ROSARIO, GELEN RECENO (MD)
Entity type:Individual
Prefix:MS
First Name:GELEN
Middle Name:RECENO
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:502 EUCLID AVE
Mailing Address - Street 2:SUITE #300
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-2931
Mailing Address - Country:US
Mailing Address - Phone:619-475-1261
Mailing Address - Fax:619-475-1267
Practice Address - Street 1:502 EUCLID AVE
Practice Address - Street 2:SUITE #300
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2931
Practice Address - Country:US
Practice Address - Phone:619-475-1261
Practice Address - Fax:619-475-1267
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35093706207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology