Provider Demographics
NPI:1871805903
Name:ROSARIO, CRISTINA MARIA (PHD)
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:MARIA
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:QQ23 CALLE ARTEMISA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5018
Mailing Address - Country:US
Mailing Address - Phone:787-505-6938
Mailing Address - Fax:
Practice Address - Street 1:63 CALLE CARAZO
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5714
Practice Address - Country:US
Practice Address - Phone:787-505-6338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2024-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4198103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical