Provider Demographics
NPI:1083875645
Name:ROSADO, LORNA M (MSW)
Entity Type:Individual
Prefix:MRS
First Name:LORNA
Middle Name:M
Last Name:ROSADO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 CALLE GUAYACAN
Mailing Address - Street 2:MANSIONES DE LOS CEDROS
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-5430
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:116 CALLE GUAYACAN
Practice Address - Street 2:MANSIONES DE LOS CEDROS
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-5430
Practice Address - Country:US
Practice Address - Phone:787-641-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR58881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical