Individual
MR. IVAN ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1324 AVE FD ROOSEVELT, SUITE 201, SAN JUAN, PR 00920-2809
(787) 792-0278
(787) 792-7994
Mailing address
345 CALLE CORAL, COCO BEACH, RIO GRANDE, PR 00745-4623
(939) 969-5396
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
743
PR
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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