Doctor Name: | DR. YESENIA E JUSTINIANO ROSARIO |
NPI Number: | 1508002395 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 17382 |
Business Practice Address: | 169 Calle Santiago R Palmer E Mayaguez, PR - 006805036 |
Business Phone Number: | 7873177792 |
Business Fax Number: | 7872657741 |
Mailing Address: | 169 Calle Santiago R Palmer E, MAYAGUEZ |
State: | PR |
Postal Code: | 006805036 |
Phone Number: | 7873177792 |
Fax Number: | 7878313270 |
NPI Enumeration Date: | 12/28/2008 |
NPI Last Update Date: | 02/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |