Provider Demographics
NPI:1144813247
Name:FRANCISCO ROSARIO-ORTIZ PHD LLC
Entity type:Organization
Organization Name:FRANCISCO ROSARIO-ORTIZ PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-579-4126
Mailing Address - Street 1:400 BLAKE ST APT 3402
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-4415
Mailing Address - Country:US
Mailing Address - Phone:787-579-4126
Mailing Address - Fax:
Practice Address - Street 1:400 BLAKE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-4410
Practice Address - Country:US
Practice Address - Phone:203-697-8967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)