| Doctor Name: | JETSYBELL ROSARIO |
| NPI Number: | 1366818932 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHL |
| License Number: | 003029 |
| Business Practice Address: | Ff1 Calle 18, Ave Teniente Nelson Martinez Alturas De Flamboyan Bayamon, PR - 00956 |
| Business Phone Number: | 7874878006 |
| Business Fax Number: | |
| Mailing Address: | Ff1 Calle 18, Ave Teniente Nelson Martinez, Alturas De Flamboyan BAYAMON |
| State: | PR |
| Postal Code: | 00956 |
| Phone Number: | 7874878006 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2015 |
| NPI Last Update Date: | 08/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 003029 |
| 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 |