Provider Demographics
NPI:1437846698
Name:VENTURA, ROSA E
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:E
Last Name:VENTURA
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 1:3704 2ND ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-2431
Mailing Address - Country:US
Mailing Address - Phone:202-446-6073
Mailing Address - Fax:
Practice Address - Street 1:1000 NEW JERSEY AVE SE APT 905
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3370
Practice Address - Country:US
Practice Address - Phone:909-646-2855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider