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NPI Code Detail

MEDICARE: YINETTE ROSARIO CRNA

MEDICARE: YINETTE ROSARIO CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered Nurse9371432FL
2367500000XCertified Registered Nurse Anesthetist041.373593IL
3367500000XCertified Registered Nurse Anesthetist209021438IL

General Provider Information

NPI Number : 1144857657
Entity Type Code : Individual
Provider Name (Legal Business Name) : YINETTE ROSARIO CRNA
Provider Business Mailing Address
First Line : 5815 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60660-3859
Country : US
Telephone Number : 401-854-8076
Fax Number :
Provider Business Practice Location Address
First Line : 421 N 21ST AVE
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-4013
Country : US
Telephone Number : 305-899-3288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 07/25/2022

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Directions to “ YINETTE ROSARIO CRNA” Practice Location

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