Healthcare Provider Details

I. General information

NPI: 1922841170
Provider Name (Legal Business Name): JESSLIAN ROSA ROSADO D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 675 KM 1.6 BO BAJURA
VEGA BAYA PR
00692
US

IV. Provider business mailing address

CALLE AMAPOLA 121-A OJO DE AGUA
VEGA BAYA PR
00693
US

V. Phone/Fax

Practice location:
  • Phone: 787-600-7024
  • Fax:
Mailing address:
  • Phone: 939-261-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number991
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR011030
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: