Provider Demographics
NPI:1073596144
Name:SALABARRIA, ROSA LYDIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:LYDIA
Last Name:SALABARRIA
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:326 CALLE 28
Mailing Address - Street 2:PARCELAS FALU
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3146
Mailing Address - Country:US
Mailing Address - Phone:787-765-1650
Mailing Address - Fax:787-765-1650
Practice Address - Street 1:AVENIDA 65 DE INFANTERIA KM 3 4
Practice Address - Street 2:BARRIO SABANA LLANA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-765-1650
Practice Address - Fax:787-765-1650
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR25849163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
407004Medicare ID - Type Unspecified