Provider Demographics
NPI:1679780522
Name:ROSSY-RODRIGUEZ, MADELINE (MD)
Entity type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:
Last Name:ROSSY-RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 361101
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-1101
Mailing Address - Country:US
Mailing Address - Phone:787-287-0937
Mailing Address - Fax:787-766-5137
Practice Address - Street 1:68 CALLE MANANTIAL
Practice Address - Street 2:MONTEVERDE REAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5982
Practice Address - Country:US
Practice Address - Phone:787-287-0937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR78682080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine