Provider Demographics
NPI:1700220373
Name:ROSADO, VIRNA L (MSW)
Entity Type:Individual
Prefix:MS
First Name:VIRNA
Middle Name:L
Last Name:ROSADO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CALLE BALDORIOTY
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-5072
Mailing Address - Country:US
Mailing Address - Phone:787-884-5977
Mailing Address - Fax:
Practice Address - Street 1:12 CALLE BALDORIOTY
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5071
Practice Address - Country:US
Practice Address - Phone:787-884-5977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR112561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical