National Provider Identifier
Juan De Rosas, MD
Juan De Rosas, MD is listed in the NPPES registry with a primary specialty of Urology Physician in Lockport, NY and a listed phone number of (716) 434-8802.
Profile Overview
- NPI
- 1942495866
- Provider Type
- Individual
- Primary Specialty
- Urology Physician
- Enumeration Date
- September 13, 2007
- Last Updated
- July 14, 2020
Practice Location
- 15 Elizabeth Dr
- Lockport, NY 14094-5226
Phone: (716) 434-8802
Specialties
- Urology Physician (208800000X)
Full Record
- NPI
- 1942495866
- Entity Type
- Individual
- Last Name
- De Rosas
- First Name
- Juan
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 15 Elizabeth Dr
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-5226
- Mailing Country
- US
- Mailing Phone
- (716) 434-8802
- Mailing Fax
- (716) 434-0093
- Practice Street Address
- 15 Elizabeth Dr
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5226
- Practice Country
- US
- Practice Phone
- (716) 434-8802
- Practice Fax
- (716) 434-0093
- Enumeration Date
- September 13, 2007
- Last Updated
- July 14, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 14, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Urology Physician (208800000X)
- Other Identifiers
- 00616317 (NY)