Provider Demographics
NPI:1427508050
Name:ROSADO, AIMEE
Entity type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:
Last Name:ROSADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BLVD DEL RIO 500 AVE LOS FILTROS
Mailing Address - Street 2:APT #68 GUAYNABO
Mailing Address - City:GUAYNABO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00971
Mailing Address - Country:UM
Mailing Address - Phone:787-619-9769
Mailing Address - Fax:
Practice Address - Street 1:BLVD DEL RIO 500 AVE LOS FILTROS
Practice Address - Street 2:APT #68 GUAYNABO
Practice Address - City:GUAYNABO
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00971
Practice Address - Country:UM
Practice Address - Phone:787-619-9769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist