Individual
MARIBELLA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
33 JUAN R GARZOT, NAGUABO, PR 00718
(787) 874-0600
(787) 874-1449
Mailing address
HC 12 BOX 7201, HUMACAO, PR 00791-9242
(787) 934-1406
(787) 874-1449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1249
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50570
1249
PR
01
—
6606536501
1249
PR
01
—
9580021
1249
PR
Enumeration date
05/15/2006
Last updated
10/24/2018
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