Doctor Name: | EDINNETTE ROSARIO |
NPI Number: | 1316373111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S-P.H.L |
License Number: | 1098 |
Business Practice Address: | Ave. Americo Miranda 1262 San Juan, PR - 009213307 |
Business Phone Number: | 7872436702 |
Business Fax Number: | |
Mailing Address: | Po Box 4960, Pmb 119 CAGUAS |
State: | PR |
Postal Code: | 007264960 |
Phone Number: | 7872436702 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2013 |
NPI Last Update Date: | 09/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |