Doctor Name: | DR. RONEL DESROSIERS |
NPI Number: | 1437551884 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 18890 |
Business Practice Address: | L5 Calle 1 Urb Rexmanor Guayama, PR - 007846018 |
Business Phone Number: | 7876550505 |
Business Fax Number: | |
Mailing Address: | L5 Calle 1, Urb Rexmanor GUAYAMA |
State: | PR |
Postal Code: | 007846018 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/17/2014 |
NPI Last Update Date: | 02/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |