person
Dr. Lissette Ann Marie Davis Rosario
General Practice Physician in Bayamon, N/A
NPI 1942954078

Lissette Ann Marie Davis Rosario is a General Practice Physician based in San Juan, . Lissette Ann Marie Davis Rosario practices in Bayamon, . The NPI Number for Lissette Ann Marie Davis Rosario is 1942954078 and holds a License No. 16085I (N/A).

The current practice location address for Lissette Ann Marie Davis Rosario is 70 Calle Santa Cruz, Bayamon, and can be reached out via phone at 787-387-9520.

Location: 70 Calle Santa Cruz, Bayamon, , 00920
person
Provider Profile Details
NPI Number
1942954078
Provider Name
Lissette Ann Marie Davis Rosario
Credential
Provider Entity Type
Individual
Gender
Female
Address
70 Calle Santa Cruz, Bayamon, , 00920
Phone Number
787-387-9520
Fax Number
Provider Enumeration Date
02/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
70 Calle Santa Cruz
City
State
Zip
00961-7052
Phone Number
787-387-9520
Fax Number
person
Provider Business Mailing Address Details
Address
70 Calle Santa Cruz
City
State
Zip
00961-7052
Phone Number
787-387-9520
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
23305 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
16085I ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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