Healthcare Provider Details

I. General information

NPI: 1821777830
Provider Name (Legal Business Name): VERONICA DE LA ROSA ROSARIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO. MONACILLO CENTRO MEDICO DE PR HOSPITAL MUNICIPAL DE SAN JUAN
SAN JUAN PR
00921
US

IV. Provider business mailing address

URB. LOS ROSALES CALLE 7 O-1
HUMACAO PR
00791
US

V. Phone/Fax

Practice location:
  • Phone: 787-480-2700
  • Fax:
Mailing address:
  • Phone: 787-586-7708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number24046
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number24046
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: