Provider Demographics
NPI:1154829729
Name:ROSADO, YESENIA (CNA)
Entity Type:Individual
Prefix:MS
First Name:YESENIA
Middle Name:
Last Name:ROSADO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MS
Other - First Name:LORENA
Other - Middle Name:
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HHA
Mailing Address - Street 1:384 53RD DR N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-1700
Mailing Address - Country:US
Mailing Address - Phone:561-318-5275
Mailing Address - Fax:561-814-2290
Practice Address - Street 1:384 53RD DR N
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-1700
Practice Address - Country:US
Practice Address - Phone:561-318-5275
Practice Address - Fax:561-814-2290
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL266577372600000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion