Provider Demographics
NPI:1033925078
Name:ROSEGA'S SERVICES
Entity type:Organization
Organization Name:ROSEGA'S SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CBHCMS
Authorized Official - Prefix:
Authorized Official - First Name:ROSIRENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUESADA RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-715-0594
Mailing Address - Street 1:1840 W 49TH ST STE 727
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2973
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1840 W 49TH ST STE 727
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2973
Practice Address - Country:US
Practice Address - Phone:786-715-0594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty