Provider Demographics
NPI:1992574594
Name:FARINAS MOLINA, ROSALYS MARIA
Entity type:Individual
Prefix:
First Name:ROSALYS
Middle Name:MARIA
Last Name:FARINAS MOLINA
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 1:3003 HERON LAKE DR APT E
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5243
Mailing Address - Country:US
Mailing Address - Phone:321-543-4388
Mailing Address - Fax:
Practice Address - Street 1:3003 HERON LAKE DR APT E
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5243
Practice Address - Country:US
Practice Address - Phone:321-543-4388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician