Provider Demographics
NPI:1811992712
Name:GARCIA-DE LA ROSA, DENIZ E (MD)
Entity type:Individual
Prefix:
First Name:DENIZ
Middle Name:E
Last Name:GARCIA-DE LA ROSA
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:PO BOX 30018
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-1018
Mailing Address - Country:US
Mailing Address - Phone:787-781-8506
Mailing Address - Fax:
Practice Address - Street 1:SUITE 205 CARR.21 #1785 LAS LOMAS
Practice Address - Street 2:HOSPITAL METROPOLITANO
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-781-8506
Practice Address - Fax:787-749-0392
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13461207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21669-GMedicare ID - Type Unspecified
PRH94852Medicare UPIN