Provider Demographics
NPI:1679781165
Name:ROSADO, NORMA ELI (MS)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:ELI
Last Name:ROSADO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB VILLA OLGA
Mailing Address - Street 2:CALLE RAFAEL JIMENEZ DE LA ROSA 337
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-766-4646
Mailing Address - Fax:
Practice Address - Street 1:HOSP PSIQUIATRIA DE RIO PIEDRAS
Practice Address - Street 2:BO MONACILLO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00922
Practice Address - Country:US
Practice Address - Phone:787-766-4646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000487103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist