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NPI Code Detail

MEDICARE: CELESTE DE LOS ANGELES ROSARIO PH.D

MEDICARE: CELESTE DE LOS ANGELES ROSARIO PH.D
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
1103T00000XPsychologist5583PR

General Provider Information

NPI Number : 1447621149
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTE DE LOS ANGELES ROSARIO PH.D
Provider Business Mailing Address
First Line : 28 CALLE SANTA CRUZ
Second Line :
City : BAYAMON
State : PR
Zip : 00961-6906
Country : US
Telephone Number : 787-798-0723
Fax Number : 787-251-7034
Provider Business Practice Location Address
First Line : 28 CALLE SANTA CRUZ
Second Line :
City : BAYAMON
State : PR
Zip : 00961-6906
Country : US
Telephone Number : 787-798-0723
Fax Number : 787-251-7034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2015
Last Update Date : 10/07/2015

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Directions to “ CELESTE DE LOS ANGELES ROSARIO PH.D” Practice Location

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