MEDICARE: MS. ANGELA MARIE ROSADO SOTO CSW

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	1041C0700X	Clinical Social Worker	17550	PR

General Provider Information

NPI Number	:	1306776406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELA MARIE ROSADO SOTO CSW

Provider Business Mailing Address
First Line	:	2120 CALLE ANTIOQUIA
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-4930
Country	:	US
Telephone Number	:	787-951-7576
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 CALLE ANTIOQUIA
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-4930
Country	:	US
Telephone Number	:	787-951-7576
Fax Number	:

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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