Rosalo Desamito Paeste III, RN
Individual provider Active NPI Registered Nurse · Maite, GU
NPI 1245085471 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1245085471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RX0991 (GU)
- Practice address
- 400 Route 8 Ste 303
Maite, GU 96910-2003 - Phone
- (671) 475-0061
- NPI assigned
- Apr 22, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RX0991 | GU | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RX0991 | GU | Yes |
Addresses
Primary practice location
400 Route 8 Ste 303
Maite, GU 96910-2003
Mailing address
400 Route 8 Ste 303
Maite, GU 96910-2003
Other providers in Maite, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. 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.