MEDICARE: CAROLENA NATALIA ROSADO

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
1	103TR0400X	Rehabilitation Psychologist	103TR0400X	NV

General Provider Information

NPI Number	:	1477097293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLENA NATALIA ROSADO

Provider Business Mailing Address
First Line	:	916 UTE LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-2526
Country	:	US
Telephone Number	:	702-845-1178
Fax Number	:

Provider Business Practice Location Address
First Line	:	4525 S SANDHILL RD
Second Line	:	SUIT 103
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5954
Country	:	US
Telephone Number	:	702-623-9821
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2016
Last Update Date	:	05/15/2025

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Directions to “ CAROLENA NATALIA ROSADO ” Practice Location

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