Joan Ivelisse Rosado Vargas, MRC
Individual provider Active NPI Rehabilitation Counselor · Adjuntas, PR
NPI 1114483385 · NPPES record last updated Jul 16, 2019
Key facts
- NPI
- 1114483385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Counselor 225C00000X
- License
- 1632 (PR)
- Practice address
- Bo Garzas
Carr 10 KM 0.4
Adjuntas, PR 00601 - Phone
- (787) 967-8483
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAT-IV-41575 | PR | MD | Addiction (Substance Use Disorder) Counselor |
| 1632 | PR | MD | Nutritionist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAT-IV-41575 | PR | |
| Rehabilitation Counselor | 225C00000X | 1632 | PR | Yes |
Addresses
Primary practice location
Bo Garzas
Carr 10 KM 0.4
Adjuntas, PR 00601
Mailing address
HC 6 Box 4286
Ponce, PR 00780-9515
Other providers in Adjuntas, PR
- Nilda Rivera
- Karen Rodriguez-Vera
- Angel L. Rodriguez
- Anibal Rodriguez
- Jannette Rodriguez
- Jorge G Ruiz Coimbre
- Jorge E Ruiz Diaz
- Luis E. Saliceti
- Saluvista LLC
- Diomedes Santiago
All providers in Adjuntas, PR · Rehabilitation Counselor in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.