Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | ME128266 | FL |
NPI | 1205142171 |
---|---|
Provider Name | Mariselis Rosa-Sanchez |
First Address | Coral Gables, FL 33146-2423 |
Second Address | South Miami, FL 33143-4829 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2010 |
Last Update Date | 25/09/2019 |