Active NPIIndividual provider

Dr. Lissette A Davis Rosario

General Practice in Bayamon, Puerto Rico

NPI Number1942954078
Practice location
70 Calle Santa Cruz, Bayamon, PR 00961-7052
Fax
—
Last updated
June 12, 2023

Lissette Ann Marie Davis Rosario is a General Practice based in Bayamon, PR. Lissette Ann Marie Davis Rosario practices in Bayamon, PR. The NPI Number for Lissette Ann Marie Davis Rosario is 1942954078 and holds a License No. 16085I (PR). The current practice location address for Lissette Ann Marie Davis Rosario is 70 Calle Santa Cruz, Bayamon, PR 00961-7052 and can be reached out via phone at 787-387-9520.

Provider Profile Details

NPI Number
1942954078
Provider Name
Lissette Ann Marie Davis Rosario
Provider Entity Type
Individual
Gender
Female
Address
70 Calle Santa Cruz, Bayamon, PR 00961-7052
Phone Number
787-387-9520
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Provider Enumeration Date
February 8, 2022
Last Update Date
June 12, 2023
Certification Date
June 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Calle Santa Cruz
Bayamon, PR 00961-7052
Zip
00961-7052
Phone Number
787-387-9520
Bayamon, PR 00961Get directions →

Provider Business Mailing Address Details

Address
Urb. Puerto Nuevo 1371 Calle 12 NW
Apt 4
San Juan, PR 00920
City
San Juan
State
PR
Zip
00920
Phone Number
787-387-9520

License Information

License Number (1)
16085I
License State (1)
PR
License Number (2)
23305
License State (2)
PR
Taxonomy (2)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lissette A Davis Rosario?

The NPI number of Dr. Lissette A Davis Rosario is 1942954078. It was assigned on February 8, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Lissette A Davis Rosario?

Dr. Lissette A Davis Rosario is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 16085I.

Where does Dr. Lissette A Davis Rosario practice?

The practice location is 70 Calle Santa Cruz, Bayamon, PR 00961-7052. The office can be reached at 787-387-9520 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942954078 directly on the NPPES registry website.

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