Basic Information
| Provider Information | |||||||||
| NPI: | 1740482520 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROSA-ALGARIN | ||||||||
| FirstName: | RAFAEL | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | ROSA | ||||||||
| OtherFirstName: | RAFAEL | ||||||||
| OtherMiddleName: | ANGEL | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1750 SE 28TH LOOP | ||||||||
| Address2: | |||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344711080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523514634 | ||||||||
| FaxNumber: | 3523511900 | ||||||||
| Practice Location | |||||||||
| Address1: | 1750 SE 28TH LOOP | ||||||||
| Address2: | |||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344711080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523514634 | ||||||||
| FaxNumber: | 3523511900 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2007 | ||||||||
| LastUpdateDate: | 01/12/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | ACN220 | FL | Y | Allopathic & Osteopathic Physicians | General Practice | 282N00000X | 13858 | PR | N | Hospitals | General Acute Care Hospital |
No ID Information.