Provider Demographics
NPI:1669287983
Name:ROSA ROSARIO, GABRIELA (DC)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:
Last Name:ROSA ROSARIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 SHIRLEY ST SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-3480
Mailing Address - Country:US
Mailing Address - Phone:787-298-3374
Mailing Address - Fax:
Practice Address - Street 1:1290 W SPRING ST SE STE 130
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-3689
Practice Address - Country:US
Practice Address - Phone:787-298-3374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO11341111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation