Basic Information
| Provider Information | |||||||||
| NPI: | 1881268704 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROSARIO | ||||||||
| FirstName: | YAJAIRA M | ||||||||
| MiddleName: | SERRANO | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | COND. BEVERLY HILLS COURT | ||||||||
| Address2: | 100 CARMEN HILLS DRIVE APT 142 | ||||||||
| City: | SAN JUAN PR | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9392839999 | ||||||||
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| Practice Location | |||||||||
| Address1: | HOSPITAL ONCOLOGICO | ||||||||
| Address2: | CALLE 5 CASA K18 | ||||||||
| City: | BO MONACILLOS CENTRO MEDICO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877634149 | ||||||||
| FaxNumber: | 7879994514 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2021 | ||||||||
| LastUpdateDate: | 05/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 11871 | PR | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.