Provider Demographics
NPI:1033422803
Name:ROSARIO, SABINA (TOL)
Entity Type:Individual
Prefix:MISS
First Name:SABINA
Middle Name:
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:TOL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 30 BOX 33602
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-9737
Mailing Address - Country:US
Mailing Address - Phone:787-736-9135
Mailing Address - Fax:
Practice Address - Street 1:HC 30 BOX 33602
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754-9737
Practice Address - Country:US
Practice Address - Phone:787-736-9135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1039283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital