Provider Demographics
NPI:1487048682
Name:NAZARIO, ROSIBEL
Entity type:Individual
Prefix:
First Name:ROSIBEL
Middle Name:
Last Name:NAZARIO
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:UR12 VIA 16
Mailing Address - Street 2:VILLA FONTANA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-3602
Mailing Address - Country:US
Mailing Address - Phone:939-245-5124
Mailing Address - Fax:
Practice Address - Street 1:UR 12 VIA 16
Practice Address - Street 2:VILLA FONTANA
Practice Address - City:CAROLINA
Practice Address - State:PUERTO RRICO
Practice Address - Zip Code:00983
Practice Address - Country:UM
Practice Address - Phone:939-245-5124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2268183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician