| Dr. Jose E. Rodriguez Rosa Psc | |
|
1486 Ave Emerito Estrada Rivera San Sebastian PR 00685 | |
| (787) 926-0668 | |
| (787) 926-0668 |
| Full Name | Dr. Jose E. Rodriguez Rosa Psc |
|---|---|
| Speciality | Specialist |
| Location | 1486 Ave Emerito Estrada Rivera, San Sebastian, Puerto Rico |
| Authorized Official Name and Position | Jose Enrique Rodriguez Rosa (DOCTOR) |
| Authorized Official Contact | 7879260668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jose E. Rodriguez Rosa Psc Hc 56 Box 4960 Aguada PR 00602-8668 Ph: (787) 926-0668 | Dr. Jose E. Rodriguez Rosa Psc 1486 Ave Emerito Estrada Rivera San Sebastian PR 00685 Ph: (787) 926-0668 |
| NPI Number | 1619323201 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 05/19/2023 |
| Medicare PECOS PAC ID | 0749649242 |
|---|---|
| Medicare Enrollment ID | O20230630001405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619323201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 174400000X | Specialist | 10108 (Puerto Rico) | Primary |
| Provider Name | Jose E Rodriguez Rosa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528009099 PECOS PAC ID: 3274727516 Enrollment ID: I20101101001067 |
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