Provider Demographics
NPI:1457140683
Name:ROSALES, MARIA CAROLINA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CAROLINA
Last Name:ROSALES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 LEROUX ST
Mailing Address - Street 2:
Mailing Address - City:FORT LUPTON
Mailing Address - State:CO
Mailing Address - Zip Code:80621-2765
Mailing Address - Country:US
Mailing Address - Phone:213-539-7588
Mailing Address - Fax:
Practice Address - Street 1:1422 LEROUX ST
Practice Address - Street 2:
Practice Address - City:FORT LUPTON
Practice Address - State:CO
Practice Address - Zip Code:80621-2765
Practice Address - Country:US
Practice Address - Phone:213-539-7588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter