Provider Demographics
NPI:1477307312
Name:ROSQUETE PULIDO, ISBEL
Entity Type:Individual
Prefix:
First Name:ISBEL
Middle Name:
Last Name:ROSQUETE PULIDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10680 FONTAINEBLEAU BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3117
Mailing Address - Country:US
Mailing Address - Phone:305-794-6845
Mailing Address - Fax:
Practice Address - Street 1:10680 FONTAINEBLEAU BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3117
Practice Address - Country:US
Practice Address - Phone:305-794-6845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker