| Luis F Rosa Diaz | |
|
190 Ave Lauro Pinero Ceiba PR 00735-2732 | |
| (787) 885-8080 | |
| (787) 885-8081 |
| Full Name | Luis F Rosa Diaz |
|---|---|
| Speciality | Family Medicine |
| Location | 190 Ave Lauro Pinero, Ceiba, Puerto Rico |
| Authorized Official Name and Position | Luis F Rosa-diaz (PRESIDENT) |
| Authorized Official Contact | 7878858080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis F Rosa Diaz Ave Lauro Pinero 190 Ceiba PR 00738 Ph: (787) 885-8080 | Luis F Rosa Diaz 190 Ave Lauro Pinero Ceiba PR 00735-2732 Ph: (787) 885-8080 |
| NPI Number | 1174893168 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 07/05/2012 |
| Medicare PECOS PAC ID | 2264696327 |
|---|---|
| Medicare Enrollment ID | O20120621000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174893168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13318 (Puerto Rico) | Primary |
| Provider Name | Luis F Rosa-diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346319399 PECOS PAC ID: 6901702026 Enrollment ID: I20031210000186 |
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