Provider Demographics
NPI:1497473581
Name:DEL ROSARIO, ALFONSO (BS)
Entity Type:Individual
Prefix:
First Name:ALFONSO
Middle Name:
Last Name:DEL ROSARIO
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11418 JANET AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-3106
Mailing Address - Country:US
Mailing Address - Phone:305-842-8555
Mailing Address - Fax:
Practice Address - Street 1:11418 JANET AVE
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-3106
Practice Address - Country:US
Practice Address - Phone:305-842-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician