Provider Demographics
NPI:1508257049
Name:ROSARIO, AMERICO
Entity Type:Individual
Prefix:
First Name:AMERICO
Middle Name:
Last Name:ROSARIO
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 1:38 TAFT AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2839
Mailing Address - Country:US
Mailing Address - Phone:973-495-3099
Mailing Address - Fax:973-742-2848
Practice Address - Street 1:38 TAFT AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-2839
Practice Address - Country:US
Practice Address - Phone:973-495-3099
Practice Address - Fax:973-742-2848
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)