Provider Demographics
NPI:1649356817
Name:DEL ROSARIO-TORRES, LEONIDA (MD)
Entity type:Individual
Prefix:DR
First Name:LEONIDA
Middle Name:
Last Name:DEL ROSARIO-TORRES
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 1:2166 MORRIS AVENUE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5902
Mailing Address - Country:US
Mailing Address - Phone:908-686-3933
Mailing Address - Fax:908-686-3549
Practice Address - Street 1:2166 MORRIS AVENUE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5902
Practice Address - Country:US
Practice Address - Phone:908-686-3933
Practice Address - Fax:908-686-3549
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29387207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0978906Medicaid
00449494Medicare ID - Type Unspecified
NJ0978906Medicaid