MEDICARE: MISS ROSANA 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	372600000X	Adult Companion		FL

Other Identifiers

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

General Provider Information

NPI Number	:	1619586922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ROSANA ROSARIO

Provider Business Mailing Address
First Line	:	7571 W 35TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-6706
Country	:	US
Telephone Number	:	305-726-8218
Fax Number	:	786-536-5325

Provider Business Practice Location Address
First Line	:	7571 W 35TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-6706
Country	:	US
Telephone Number	:	305-726-8218
Fax Number	:	786-536-5325

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

Provider Enumeration Date	:	07/23/2020
Last Update Date	:	07/23/2020

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Directions to “ MISS ROSANA ROSARIO ” Practice Location

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