Provider Demographics
NPI:1548754021
Name:MENDEZ COLE, ROSSANA (MSW)
Entity Type:Individual
Prefix:
First Name:ROSSANA
Middle Name:
Last Name:MENDEZ COLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 SW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3301
Mailing Address - Country:US
Mailing Address - Phone:954-793-1981
Mailing Address - Fax:
Practice Address - Street 1:1600 SW 87TH AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-3301
Practice Address - Country:US
Practice Address - Phone:754-777-1608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-19
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker