| Doctor Name: | AIXA M. ROSARIO |
| NPI Number: | 1184906620 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3469 |
| Business Practice Address: | Calle Barcelo Barranquitas, PUERTO RICO - 00794 |
| Business Phone Number: | 7876071687 |
| Business Fax Number: | |
| Mailing Address: | Urb. Ext. San Jose I5, AIBONITO |
| State: | PUERTO RICO |
| Postal Code: | 00705 |
| Phone Number: | 7875959720 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2011 |
| NPI Last Update Date: | 09/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 3469 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |