Provider Demographics
NPI:1578642419
Name:TOSCA, ROXANNA (RD, LDN, MS)
Entity Type:Individual
Prefix:
First Name:ROXANNA
Middle Name:
Last Name:TOSCA
Suffix:
Gender:F
Credentials:RD, LDN, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6050 CARR 844
Mailing Address - Street 2:APT 91
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7814
Mailing Address - Country:US
Mailing Address - Phone:305-335-6499
Mailing Address - Fax:
Practice Address - Street 1:6050 CARR 844
Practice Address - Street 2:APT 91
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7814
Practice Address - Country:US
Practice Address - Phone:305-335-6499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1223133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered