Provider Demographics
NPI:1205721743
Name:PASTOR-ROSADO, OSMIN CLEMENTE
Entity type:Individual
Prefix:
First Name:OSMIN
Middle Name:CLEMENTE
Last Name:PASTOR-ROSADO
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 1:7061 W. ARBY AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:LAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148
Mailing Address - Country:US
Mailing Address - Phone:702-485-5515
Mailing Address - Fax:
Practice Address - Street 1:7061 W ARBY AVE STE 170
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-4464
Practice Address - Country:US
Practice Address - Phone:702-485-5515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician