Provider Demographics
NPI:1801000773
Name:ROSA-DAVILA, EMARELY (MSW)
Entity Type:Individual
Prefix:MRS
First Name:EMARELY
Middle Name:
Last Name:ROSA-DAVILA
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:URB. OLYMPIC COURT 207 CALLE ESPARTA
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-638-8467
Mailing Address - Fax:787-737-3037
Practice Address - Street 1:I11 CALLE 9
Practice Address - Street 2:EXT SAN ANTONIO
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3733
Practice Address - Country:US
Practice Address - Phone:787-638-8467
Practice Address - Fax:787-737-3037
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR68401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical