Healthcare Provider Details

I. General information

NPI: 1932316007
Provider Name (Legal Business Name): JOSELITO POSADAS ROSAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 LONG BAY ROAD 5 VITRACO MALL
CHARLOTTE AMALIE VI
00801
US

IV. Provider business mailing address

P.O. BOX 9326
CHARLOTTE AMALIE VI
00801-0000
US

V. Phone/Fax

Practice location:
  • Phone: 340-776-7966
  • Fax: 340-774-1928
Mailing address:
  • Phone: 340-776-7966
  • Fax: 340-774-1928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberV.I.-755
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: