Provider Demographics
NPI:1336737667
Name:ROSSINI PADILLA, RAYMOND RICHARD II
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:RICHARD
Last Name:ROSSINI PADILLA
Suffix:II
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:RAYMOND
Other - Middle Name:RICHARD
Other - Last Name:ROSSINI PADILLA
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:CALLE SINSONTE 915 COUNTRY CLUB
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-697-7985
Mailing Address - Fax:
Practice Address - Street 1:915 CALLE SINSONTE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3310
Practice Address - Country:US
Practice Address - Phone:787-697-7985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-03
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR85773163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse