Doctor Name: | ELSIRIS ROSARIO |
NPI Number: | 1265813570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PHL04595 |
Business Practice Address: | 371 Putnam Pike Smithfield, RI - 029172440 |
Business Phone Number: | 4012322854 |
Business Fax Number: | 4017573266 |
Mailing Address: | 371 Putnam Pike, SMITHFIELD |
State: | RI |
Postal Code: | 029172440 |
Phone Number: | 4012322854 |
Fax Number: | 4017573266 |
NPI Enumeration Date: | 06/11/2015 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | PHL04595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |