Healthcare Provider Details

I. General information

NPI: 1578135059
Provider Name (Legal Business Name): ROSALINDA LOSOYA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROSALINDA LOSOYA NP

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 12/20/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5282 MEDICAL DR STE 605
SAN ANTONIO TX
78229-6114
US

IV. Provider business mailing address

PO BOX 29735
SAN ANTONIO TX
78229-0735
US

V. Phone/Fax

Practice location:
  • Phone: 210-447-7373
  • Fax: 210-444-2171
Mailing address:
  • Phone: 210-447-7373
  • Fax: 210-444-2171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number680782
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number680782
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1060815
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: