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NPI Code Detail

MEDICARE: MARIELA ODALISSE SANCHEZ ROSADO MD

MEDICARE: MARIELA ODALISSE SANCHEZ ROSADO 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
22080N0001XNeonatal-Perinatal Medicine PhysicianME139696FL

General Provider Information

NPI Number : 1902250483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIELA ODALISSE SANCHEZ ROSADO MD
Provider Business Mailing Address
First Line : 1150 CARR 2 APT 43
Second Line :
City : BAYAMON
State : PR
Zip : 00961-7372
Country : US
Telephone Number : 305-669-5873
Fax Number :
Provider Business Practice Location Address
First Line : 1005 JOE DIMAGGIO DR APT 1704
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5487
Country : US
Telephone Number : 787-429-1730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2016
Last Update Date : 07/21/2022

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