DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SAMUEL JESUS ROSERO GARCIA, M.D.

Active

MR. SAMUEL JESUS ROSERO GARCIA, M.D. is a General Practice healthcare provider located in LAKESIDE, Arizona. NPI 1912395807 is currently active in the NPPES registry. Verify at CMS.

General Practice · LAKESIDE, AZ

Registration Details

NPI Number
1912395807
Provider Type
Individual
Gender
Male
NPI Issued
Dec 31, 2014 (11.6235207314 yrs)
Last Updated
Jun 3, 2020
Licenses
61056 (AZ)
61056 (AZ)
019230 (PR)

Practice Information

Address
300 W. WHITE MOUNTAIN BLVD, SUITE D
LAKESIDE, AZ, 85929
Browse AZ providers · Browse ZIP 85929
Phone
9283684547
Fax
9283684527
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Additional Specialty
General Practice

Other General Practice Providers in LAKESIDE, AZ

Name Credential NPI
MR. MONTE G. MERRELL M.D. 1295900165
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.