Provider Demographics
NPI:1922158195
Name:ROSARIO, HECTOR JULIO
Entity Type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:JULIO
Last Name:ROSARIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5285 62ND ST N
Mailing Address - Street 2:# 222
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709-3338
Mailing Address - Country:US
Mailing Address - Phone:727-641-2687
Mailing Address - Fax:
Practice Address - Street 1:5285 62ND ST N
Practice Address - Street 2:# 222
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-3338
Practice Address - Country:US
Practice Address - Phone:727-641-2687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion