Healthcare Provider Details

I. General information

NPI: 1497045470
Provider Name (Legal Business Name): ROSELYN ESQUILIN RN,BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 04/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE SERGIO CUEVAS BUSTAMANTE #555
SAN JUAN PR
00918
US

IV. Provider business mailing address

467 CALLE RINCON
SAN JUAN PR
00923-2626
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-5944
  • Fax: 787-767-6600
Mailing address:
  • Phone: 939-207-9588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number11161
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: