Healthcare Provider Details

I. General information

NPI: 1558767921
Provider Name (Legal Business Name): ROSBEL CENTRO DE TERAPIAS ALTERNATIVAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2014
Last Update Date: 11/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 CALLE A URB. BAHIA
GUANICA PR
00653
US

IV. Provider business mailing address

CALLE 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 TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StatePR

VIII. Authorized Official

Name: MS. ROSELIA VICTORIA PADILLA
Title or Position: PRESIDENTA
Credential:
Phone: 787-309-1226