MEDICARE: ONELIA M ROSA CPL

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	101YP2500X	Professional Counselor	4473	PR

General Provider Information

NPI Number	:	1205412525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ONELIA M ROSA CPL

Provider Business Mailing Address
First Line	:	PO BOX 604
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-0604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	570 CALLE NAPOLES STE 201
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00924-4605
Country	:	US
Telephone Number	:	787-226-4777
Fax Number	:

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

Provider Enumeration Date	:	03/18/2021
Last Update Date	:	06/18/2025

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Directions to “ ONELIA M ROSA CPL” Practice Location

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