Individual
IDALIZ ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
CALLE SALUD #14, SEGUNDO PISO, PONCE, PR 00730
(787) 616-1901
Mailing address
PO BOX 331804, PONCE, PR 00733-1804
(787) 616-1901
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2906
PR
103TC1900X
Counseling Psychologist
Primary
2906
PR
Other
Enumeration date
02/25/2009
Last updated
02/06/2025
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