Provider Demographics
NPI:1992128136
Name:ROSADO ORTIZ, ELBA
Entity type:Individual
Prefix:
First Name:ELBA
Middle Name:
Last Name:ROSADO ORTIZ
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 1:207 ADAMS ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1144
Mailing Address - Country:US
Mailing Address - Phone:202-749-4267
Mailing Address - Fax:
Practice Address - Street 1:207 ADAMS ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1144
Practice Address - Country:US
Practice Address - Phone:202-749-4267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide