Provider Demographics
NPI:1720263817
Name:ROSAS, LUIS A (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:A
Last Name:ROSAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1200 E RIDGE RD
Mailing Address - Street 2:STE 8
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1528
Mailing Address - Country:US
Mailing Address - Phone:956-630-5530
Mailing Address - Fax:956-630-5954
Practice Address - Street 1:1200 E RIDGE RD
Practice Address - Street 2:SUITE 8
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1527
Practice Address - Country:US
Practice Address - Phone:956-630-5530
Practice Address - Fax:956-630-5954
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDP21916207R00000X
TXP3067207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine