Provider Demographics
NPI:1780781674
Name:CELERIO, ROSARIO VILLAMIN (MD)
Entity type:Individual
Prefix:DR
First Name:ROSARIO
Middle Name:VILLAMIN
Last Name:CELERIO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3600 KINGS POST PKWY
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3817
Mailing Address - Country:US
Mailing Address - Phone:440-333-5581
Mailing Address - Fax:440-333-5581
Practice Address - Street 1:3600 KINGS POST PKWY
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3817
Practice Address - Country:US
Practice Address - Phone:440-333-5581
Practice Address - Fax:440-333-5581
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2013-05-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35-037470207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0448143Medicare UPIN