MEDICARE: MARIELYSA CARIDAD 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	163W00000X	Registered Nurse	RN2310513	MA

General Provider Information

NPI Number	:	1144181181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIELYSA CARIDAD ROSARIO

Provider Business Mailing Address
First Line	:	89 NEEDHAM ST APT 2252
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02461-1639
Country	:	US
Telephone Number	:	617-678-3892
Fax Number	:

Provider Business Practice Location Address
First Line	:	89 NEEDHAM ST APT 2252
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02461-1639
Country	:	US
Telephone Number	:	617-678-3892
Fax Number	:

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

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	11/19/2025

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Directions to “ MARIELYSA CARIDAD ROSARIO ” Practice Location

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