Jose Vicente Rosales-Medina | Mayaguez, PR • PECOS Search

Jose Vicente Rosales-Medina

General Practice

Allopathic & Osteopathic Physicians

419 Ave Hostos, Mayaguez, PR 00680-1519

(787) 834-8800 (787) 226-7855

PECOS Enrollment

Based on the most recent information from CMS, provider Jose Vicente Rosales-Medina does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1326086000
Provider Type
Individual
Full Name
Rosales-Medina, Jose Vicente
Title
Dr.

Credential
MD
Gender
Male
Enumeration Date
6/3/2006
Last Updated
7/9/2007

Contact Information

Practice Location

419 Ave Hostos, Mayaguez, PR 00680-1519

Unlisted Fax

Mailing Location

PO Box 826, Boqueron, PR 00622-0826

(787) 254-2144

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 13236 Puerto Rico