Individual provider · Type 1 NPI

Lissette Ann Marie Davis Rosario

General Practice Physician · Bayamon, PR

NPI number 1942954078 Active

Practice location

70 Calle Santa Cruz
Bayamon, PR 00961-7052

Mailing address

Urb. Puerto Nuevo 1371 Calle 12 NW, Apt 4
San Juan, PR 00920

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X16085I (PR)
General Practice Physician Primary 208D00000X23305 (PR)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1942954078

Lissette Ann Marie Davis Rosario's National Provider Identifier is 1942954078, issued on Feb 8, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bayamon, PR. The record was last updated on Jun 12, 2023.