Individual
MR. KELVIN JAVIER ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MCSW
Contact information
Practice address
URB. BRISAS DEL MAR, ISABELA, PR 00662
(787) 462-1197
Mailing address
PO BOX 1781, AGUADILLA, PR 00605-1781
(787) 462-1197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20454
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197
—
PR
Enumeration date
08/07/2017
Last updated
07/21/2022
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