Dela Rosa, Reynaldo S.

Dela Rosa, Reynaldo S. is an individual health care provider with primary practice located at 449 West 23Rd Street Guld Coast Regional Medical Center, Panam City FL 32405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Dela Rosa, Reynaldo S. can be contacted via phone (850) 767-2220.

Contact Information

Primary practice address
449 West 23Rd Street Guld Coast Regional Medical Center Panam City FL 32405
Phone: (850) 767-2220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 01060859 Indiana

Profile Details

NPI number 1447369558
LBN Legal business name Dela Rosa, Reynaldo S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 13th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447369558 NPPES
Missouri MEDICAID 207482605
Missouri Other 302I816792
Missouri MEDICAID 200529540
Missouri MEDICAID 2869472

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