Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | M1325 | TX |
N | 207RN0300X | Nephrologist | MD2013-0819 | NM |
NPI | 1033103080 |
---|---|
Provider Name | Dr. Rey Francisco Rosario |
First Address | El Paso, TX 79902-4850 |
Second Address | El Paso, TX 79902-4850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 22/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H92359 | (02) | |
M1325 | PHYSICIAN LICENSE (01) | TX |