Provider Demographics
NPI:1750540936
Name:BORRERO, ROSALINDA (CERTIFICATE)
Entity type:Individual
Prefix:
First Name:ROSALINDA
Middle Name:
Last Name:BORRERO
Suffix:
Gender:F
Credentials:CERTIFICATE
Other - Prefix:
Other - First Name:ROSALINDA
Other - Middle Name:
Other - Last Name:BORRERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SUDCC
Mailing Address - Street 1:300 BRADFORD ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1530
Mailing Address - Country:US
Mailing Address - Phone:650-363-4152
Mailing Address - Fax:
Practice Address - Street 1:300 BRADFORD ST
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1530
Practice Address - Country:US
Practice Address - Phone:650-363-4152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7655101YA0400X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)