Provider Demographics
NPI:1104071000
Name:DELA LLARTE, MA. ROSARIO LIMPIN (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:MA. ROSARIO
Middle Name:LIMPIN
Last Name:DELA LLARTE
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 FULTON AVE
Mailing Address - Street 2:APT. 317
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-4102
Mailing Address - Country:US
Mailing Address - Phone:646-945-2996
Mailing Address - Fax:
Practice Address - Street 1:755 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-1111
Practice Address - Country:US
Practice Address - Phone:516-565-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY596581163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse