; NPI #1750984043

Contact Information

ROGELIO GONZALEZ DE LA ROSA

23037 SW 108TH CT
MIAMI, FL 33170-7538

Phone: 786-302-0569
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Corporate Health	261QC1800X
Community Based Residential Treatment Facility, Mental Illness	320800000X

Indicates primary specialty

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NPI Profile & details for

NPI #	`1750984043`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	11/18/2020
Last updated	11/18/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Corporate Health

Community Based Residential Treatment Facility, Mental Illness

NPI Profile & details for

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