Provider Demographics
NPI:1497071815
Name:ROSARIO, ROCIO DEL MAR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROCIO
Middle Name:DEL MAR
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VILLA TROPICAL ST. CARIBE
Mailing Address - Street 2:#28
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769
Mailing Address - Country:US
Mailing Address - Phone:787-604-1434
Mailing Address - Fax:
Practice Address - Street 1:CALLE SEGUNDO BERNIER
Practice Address - Street 2:LOCAL 1 Y 2
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769
Practice Address - Country:US
Practice Address - Phone:787-803-8221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3670103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical