Healthcare Provider Details

I. General information

NPI: 1205238656
Provider Name (Legal Business Name): ROSELIA PADILLA CERTIFICATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BELKIS PEREZ DIPLOMA

II. Dates (important events)

Enumeration Date: 09/17/2014
Last Update Date: 09/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A #26 URB BAHIA
GUANICA PR
00653
US

IV. Provider business mailing address

A #26 URB BAHIA
GUANICA PR
00653
US

V. Phone/Fax

Practice location:
  • Phone: 787-309-1226
  • Fax: 787-992-7011
Mailing address:
  • Phone: 787-309-1226
  • Fax: 787-992-7011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: