Provider Demographics
NPI:1801334537
Name:CAIRO, ROSARIO
Entity type:Individual
Prefix:MRS
First Name:ROSARIO
Middle Name:
Last Name:CAIRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06461-2305
Mailing Address - Country:US
Mailing Address - Phone:203-545-3357
Mailing Address - Fax:203-874-5082
Practice Address - Street 1:69 BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461-2305
Practice Address - Country:US
Practice Address - Phone:203-545-3357
Practice Address - Fax:203-874-5082
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003602225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist