Provider Demographics
NPI:1578835872
Name:ROSELL, ALBERTINA M (MA)
Entity Type:Individual
Prefix:MISS
First Name:ALBERTINA
Middle Name:M
Last Name:ROSELL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:ALBERTINA
Other - Middle Name:M
Other - Last Name:ROSELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:9745 SW 72ND ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4652
Mailing Address - Country:US
Mailing Address - Phone:305-763-2566
Mailing Address - Fax:305-554-8478
Practice Address - Street 1:9745 SW 72ND ST
Practice Address - Street 2:SUITE 115
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4652
Practice Address - Country:US
Practice Address - Phone:305-763-2566
Practice Address - Fax:305-554-8478
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA66107225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist