Provider Demographics
NPI:1558253096
Name:DA ROSA, MARIA F (CCHW)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:F
Last Name:DA ROSA
Suffix:
Gender:F
Credentials:CCHW
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:F
Other - Last Name:DA ROSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCHW
Mailing Address - Street 1:270 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-1524
Mailing Address - Country:US
Mailing Address - Phone:401-274-8811
Mailing Address - Fax:401-274-8877
Practice Address - Street 1:270 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-1524
Practice Address - Country:US
Practice Address - Phone:401-274-8811
Practice Address - Fax:401-274-8877
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI202008172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker