Provider Demographics
NPI:1598700585
Name:DEL ROSARIO, ALVIN VILLADELGADO (PT)
Entity Type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:VILLADELGADO
Last Name:DEL ROSARIO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E ROWLAND ST
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3208
Mailing Address - Country:US
Mailing Address - Phone:626-780-2963
Mailing Address - Fax:626-332-8714
Practice Address - Street 1:700 E ROWLAND ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3208
Practice Address - Country:US
Practice Address - Phone:626-780-2963
Practice Address - Fax:626-332-8714
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 21434225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist