DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARIAM CAMILE DE LA ROSA MD

MEDICARE: MARIAM CAMILE DE LA ROSA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417805755
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAM CAMILE DE LA ROSA MD
Provider Business Mailing Address
First Line : 720 W OAK ST STE 201
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-4998
Country : US
Telephone Number : 407-518-2772
Fax Number :
Provider Business Practice Location Address
First Line : 720 W OAK ST STE 201
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-4998
Country : US
Telephone Number : 407-518-2772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

Similar Medicare Providers

1508493479 — DR. FARIS NABEEH MAROON MATANES MBBS
Practice Location Address:
720 W OAK ST STE 201
KISSIMMEE, FL
34741-4998
Practice Phone: 321-697-1730
Practice Fax:
1952259202 — DAVID JAMES KATZ
Practice Location Address:
720 W OAK ST STE 201
KISSIMMEE, FL
34741-4998
Practice Phone: 321-697-1733
Practice Fax:
1841148103 — YARA ALNABER
Practice Location Address:
720 W OAK ST STE 201
KISSIMMEE, FL
34741-4998
Practice Phone: 407-518-2772
Practice Fax:
1730037011 — YOUSIF ABOAZIZA MD
Practice Location Address:
720 W OAK ST STE 201
KISSIMMEE, FL
34741-4998
Practice Phone: 407-518-2772
Practice Fax:
1851249098 — NITHIN CHAKRAVARTHY KANUMURI
Practice Location Address:
720 W OAK ST STE 201
KISSIMMEE, FL
34741-4998
Practice Phone: 321-697-1782
Practice Fax:
1336097591 — MOHAMED NAAS
Practice Location Address:
720 W OAK ST STE 201
KISSIMMEE, FL
34741-4998
Practice Phone: 407-569-6614
Practice Fax:

Directions to “ MARIAM CAMILE DE LA ROSA MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.