Individual
KEREN M ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BO. GUAMANI CARR 179, KM 2.9 INTERIOR, GUAYAMA, PR 00785-0864
(787) 678-0721
Mailing address
PO BOX 864, GUAYAMA, PR 00785-0864
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3301
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323
—
PR
Enumeration date
05/30/2013
Last updated
05/30/2013
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