Provider Demographics
NPI:1275235715
Name:URRELI, ROSMERI
Entity Type:Individual
Prefix:
First Name:ROSMERI
Middle Name:
Last Name:URRELI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17358 NW 74TH AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-7193
Mailing Address - Country:US
Mailing Address - Phone:786-226-6238
Mailing Address - Fax:
Practice Address - Street 1:10625 SW 112TH AVE APT 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-8220
Practice Address - Country:US
Practice Address - Phone:305-699-3241
Practice Address - Fax:954-686-4629
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician