MEDICARE: NYDIA MARGARITA ROSARIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	7452	PR

General Provider Information

NPI Number	:	1013874171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NYDIA MARGARITA ROSARIO

Provider Business Mailing Address
First Line	:	CONDOMINIO VEREDAS DEL RIO APTO. D 334.
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00987
Country	:	US
Telephone Number	:	939-488-3295
Fax Number	:

Provider Business Practice Location Address
First Line	:	463 AVE PONCE DE LEON STE 712
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00917-3710
Country	:	US
Telephone Number	:	939-488-3295
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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