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NPI Code Detail

MEDICARE: EMMANUEL SUENING ROSALES MSN, ARNP, CRNA

MEDICARE: EMMANUEL SUENING ROSALES MSN, ARNP, CRNA
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
1367500000XCertified Registered Nurse AnesthetistARNP 2918842FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356660518
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMANUEL SUENING ROSALES MSN, ARNP, CRNA
Provider Business Mailing Address
First Line : 3820 SW 167TH AVE
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-4644
Country : US
Telephone Number : 954-438-9774
Fax Number : 954-392-5967
Provider Business Practice Location Address
First Line : 5352 LINTON BLVD
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-6514
Country : US
Telephone Number : 561-498-4440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2010
Last Update Date : 02/05/2026

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