Provider Demographics
NPI:1699300608
Name:MOLINA ROSSY, MARIELLA (DC)
Entity type:Individual
Prefix:
First Name:MARIELLA
Middle Name:
Last Name:MOLINA ROSSY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND ATRIUM PARK
Mailing Address - Street 2:27 REGINA MEDINA APT 402B
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-313-7458
Mailing Address - Fax:
Practice Address - Street 1:COND ATRIUM PARK
Practice Address - Street 2:27 REGINA MEDINA APT 402B
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-313-7458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR720111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor