Provider Demographics
NPI:1699005330
Name:MAIOLINO, ROSARIO P (CRNA)
Entity Type:Individual
Prefix:MR
First Name:ROSARIO
Middle Name:P
Last Name:MAIOLINO
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:18347 CALLE LA SERRA
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92091-0123
Mailing Address - Country:US
Mailing Address - Phone:858-832-1436
Mailing Address - Fax:858-832-1436
Practice Address - Street 1:18347 CALLE LA SERRA
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92091-0123
Practice Address - Country:US
Practice Address - Phone:619-602-1635
Practice Address - Fax:858-832-1436
Is Sole Proprietor?:No
Enumeration Date:2009-12-31
Last Update Date:2014-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA436094367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered