Healthcare Provider Details

I. General information

NPI: 1548189665
Provider Name (Legal Business Name): GEMESSE VANESSA ROSADO TORRES PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GEMESSE VANESSA ROSADO PHD

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 543
MERCEDITA PR
00715-0543
US

IV. Provider business mailing address

PO BOX 543
MERCEDITA PR
00715-0543
US

V. Phone/Fax

Practice location:
  • Phone: 787-399-8553
  • Fax: 787-399-8553
Mailing address:
  • Phone: 787-399-8553
  • Fax: 787-399-8553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number9178
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: