# DRA. YESENIA E. JUSTINIANO ROSARIO CSP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750793295
- **Authorized official:** DR. YESENIA E. JUSTINIANO ROSARIO M.D. (PRESIDENT)
- **Authorized official phone:** (787) 317-7792

## Contact information

- **Practice address:** 167 SANTIAGO RIERA PALMER, MAYAGUEZ, PR 00680-5036
- **Practice address phone:** (787) 831-3270
- **Mailing address:** 167 SANTIAGO RIERA PALMER, MAYAGUEZ, PR 00680-5036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 17382 | PR | Yes |

## Other

- **Enumeration date:** 06/02/2014
- **Last updated:** 01/07/2015