Laura Andrea Rosado Gonzalez, MD

Individual provider Active NPI General Practice Physician · Mayaguez, PR

NPI 1104437136 · NPPES record last updated Jul 12, 2022

Key facts

NPI
1104437136
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
22777 (PR)
Practice address
Paseo Los Robles, Los Caminos
#1805
Mayaguez, PR 00682
Phone
(787) 237-7739
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15607-IPRMDInternal Medicine Physician
22777PRMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15607-I PR
General Practice Physician 208D00000X 22777 PR Yes

Addresses

Primary practice location

Paseo Los Robles, Los Caminos
#1805
Mayaguez, PR 00682

Mailing address

PO Box 345
Anasco, PR 00610-0345

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL lau.andrea66md@gmail.com

Other providers in Mayaguez, PR

All providers in Mayaguez, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.