Organization Name: | JULIO CESAR ROSALES MD PA |
NPI Number: | 1093949315 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANABELLE ROSALES (OFFICE MANAGER) |
Mailing Address: | 11880 Sw 40th St Suite 120 Miami |
State: | FL US |
Postal Code: | 331753584 |
Phone Number: | 3052847530 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 05/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0071847 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |