Healthcare Provider Details

I. General information

NPI: 1306759055
Provider Name (Legal Business Name): ROSPIGLIOSY HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB #51 CALLE MARGINAL
JUNCOS PR
00777
US

IV. Provider business mailing address

HC 1 BOX 5394
JUNCOS PR
00777-9822
US

V. Phone/Fax

Practice location:
  • Phone: 787-734-1633
  • Fax:
Mailing address:
  • Phone: 787-734-1633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8167
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: