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NPI Code Detail

MEDICARE: MR. JORGE CARLOS ROSSELL LMSW

MEDICARE: MR. JORGE CARLOS ROSSELL LMSW
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker110709TX

General Provider Information

NPI Number : 1730812777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JORGE CARLOS ROSSELL LMSW
Provider Business Mailing Address
First Line : 11163 LA QUINTA PL STE B100
Second Line :
City : EL PASO
State : TX
Zip : 79936-5258
Country : US
Telephone Number : 915-201-2606
Fax Number :
Provider Business Practice Location Address
First Line : 11163 LA QUINTA PL STE B100
Second Line :
City : EL PASO
State : TX
Zip : 79936-5258
Country : US
Telephone Number : 915-201-2606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2022
Last Update Date : 06/24/2023

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