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Individual

JAIME DAVID ROSARIO SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPL

Contact information

Practice address
90 ANTONIO JIMENEZ LANDRAU, SAN RAFAEL, CAROLINA, PR 00985
(787) 944-4411
Mailing address
E37 CALLE RAMON QUINONES, CAROLINA, PR 00983-1816
(787) 632-8160

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4092
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1772573
DRIVER LICENSE
PR
Enumeration date
06/13/2018
Last updated
06/13/2018
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