Provider Demographics
NPI:1669790408
Name:MWR EMERGENCY GROUP, LLC
Entity type:Organization
Organization Name:MWR EMERGENCY GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-637-9929
Mailing Address - Street 1:196 CALLE COCO PLUMOSO
Mailing Address - Street 2:BOSQUE DE LAS PALMAS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9250
Mailing Address - Country:US
Mailing Address - Phone:787-637-9929
Mailing Address - Fax:787-995-2919
Practice Address - Street 1:196 COCO PLUMOSO
Practice Address - Street 2:BOSQUE DE LAS PALMAS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-637-9929
Practice Address - Fax:787-995-2919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR207P00000X
PR8683207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty