Provider Demographics
NPI:1780706762
Name:ROSALES, MARIA CARMELA NAZARENO (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA CARMELA
Middle Name:NAZARENO
Last Name:ROSALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2360 MCKEE RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1618
Mailing Address - Country:US
Mailing Address - Phone:408-729-7128
Mailing Address - Fax:408-729-4125
Practice Address - Street 1:2360 MCKEE RD
Practice Address - Street 2:SUITE 10
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1618
Practice Address - Country:US
Practice Address - Phone:408-729-7128
Practice Address - Fax:408-729-4125
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2014-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA54935207RN0300X
MDD0066007207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology