Rogelio De La Rosa | Stuart, FL • PECOS Search

Rogelio De La Rosa

Dentist

Dental Providers

3509 SE Willoughby Blvd, Stuart, FL 34994-5059

(772) 220-2990 (727) 394-6064

PECOS Enrollment

Based on the most recent information from CMS, provider Rogelio De La Rosa 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 6 days ago.

Profile Details

Provider ID
1568970010
Provider Type
Individual
Full Name
De La Rosa, Rogelio
Title
Dr.
Credential
DMD

Gender
Male
Sole Proprietor
No
Enumeration Date
1/18/2018
Last Updated
9/25/2018

Contact Information

Practice Location

3509 SE Willoughby Blvd, Stuart, FL 34994-5059

Unlisted Fax

Mailing Location

3509 SE Willoughby Blvd, Stuart, FL 34994-5059

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License DN22903 Florida