Provider Demographics
NPI:1023230588
Name:DE LA ROSA, JOSEFINA (RN LPN)
Entity type:Individual
Prefix:
First Name:JOSEFINA
Middle Name:
Last Name:DE LA ROSA
Suffix:
Gender:F
Credentials:RN LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A53 CALLE LOPEZ LANDRON
Mailing Address - Street 2:URB. VILLA BORINQUEN
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921
Mailing Address - Country:US
Mailing Address - Phone:787-775-8317
Mailing Address - Fax:
Practice Address - Street 1:A53 CALLE LOPEZ LANDRON
Practice Address - Street 2:URB. VILLA BORINQUEN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-775-8317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7766163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health