Provider Demographics
NPI:1740589803
Name:LOUISXVI, ROSELINE
Entity Type:Individual
Prefix:MS
First Name:ROSELINE
Middle Name:
Last Name:LOUISXVI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3795
Mailing Address - Country:US
Mailing Address - Phone:305-576-6611
Mailing Address - Fax:305-576-0008
Practice Address - Street 1:9526 NE 2ND AVE STE 202D
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2741
Practice Address - Country:US
Practice Address - Phone:954-815-1192
Practice Address - Fax:844-269-8097
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator