Provider Demographics
NPI:1881153542
Name:ESQUILIN-RODRIGUEZ, ROSALIE (HAS)
Entity type:Individual
Prefix:
First Name:ROSALIE
Middle Name:
Last Name:ESQUILIN-RODRIGUEZ
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:ROSALIE
Other - Middle Name:ESQUILIN
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1751 BLUE RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5826
Mailing Address - Country:US
Mailing Address - Phone:407-601-5798
Mailing Address - Fax:407-286-3186
Practice Address - Street 1:806 N. MAIN STREET
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4564
Practice Address - Country:US
Practice Address - Phone:407-910-4700
Practice Address - Fax:407-910-4701
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAST826237700000X
FLAS5501237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist