Provider Demographics
NPI:1902172695
Name:ROSARIO, LEBMARY OROPEZA (MA)
Entity Type:Individual
Prefix:MISS
First Name:LEBMARY
Middle Name:OROPEZA
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O BOX 6467
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0000
Mailing Address - Country:US
Mailing Address - Phone:787-691-0495
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA HOSTOS WD-28
Practice Address - Street 2:URBANIZACION SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-0000
Practice Address - Country:US
Practice Address - Phone:787-691-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4153103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist