NPI 1336390749

Jonathan Rivera Rosa, MD

Practitioner General Practice Physician Charleston, SC

Practice location

Address: 109 Bee St, Charleston, SC 29401-5703
Phone: (843) 577-5011

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 17280 (PR)

Other General Practice providers in South Carolina →

Registry record

NPI: 1336390749
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2008
Record last updated: 24 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.