Provider Demographics
NPI:1144682162
Name:LA ROSA, ALVARO JESUS (MD)
Entity type:Individual
Prefix:
First Name:ALVARO
Middle Name:JESUS
Last Name:LA ROSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALVARO
Other - Middle Name:JESUS
Other - Last Name:LA ROSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:206-762-1010
Mailing Address - Fax:
Practice Address - Street 1:1660 S. COLUMBIAN WAY
Practice Address - Street 2:MAIL STOP: S-116-7W
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-2420
Practice Address - Country:US
Practice Address - Phone:206-762-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD610571282084P0800X, 2084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry