Doctor Name: | DR. DELVY ROSADO LARROY |
NPI Number: | 1174769954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 17452 |
Business Practice Address: | 53-b Luis Munoz Rivera Urb. Villa Amparo #3 Toa Alta, PUERTO RICO - 00953 |
Business Phone Number: | 7874536285 |
Business Fax Number: | 7879986285 |
Mailing Address: | Po Box 1553, TOA ALTA |
State: | PUERTO RICO |
Postal Code: | 00954 |
Phone Number: | 7874536285 |
Fax Number: | 7879986285 |
NPI Enumeration Date: | 12/27/2008 |
NPI Last Update Date: | 09/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17452 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |