| Doctor Name: | DR. ASTRID ROSA |
| NPI Number: | 1649584715 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 17962 |
| Business Practice Address: | 1900 Michael Tiago Cir Maitland, FL - 327518665 |
| Business Phone Number: | 7874142114 |
| Business Fax Number: | |
| Mailing Address: | 1900 Michael Tiago Cir, MAITLAND |
| State: | FL |
| Postal Code: | 327518665 |
| Phone Number: | 7874142114 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2010 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17962 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |