Provider Demographics
NPI:1922819945
Name:ROSALES, RHODEL (CAMTC)
Entity type:Individual
Prefix:
First Name:RHODEL
Middle Name:
Last Name:ROSALES
Suffix:
Gender:M
Credentials:CAMTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 OCEANVIEW TER APT 401
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-3274
Mailing Address - Country:US
Mailing Address - Phone:415-269-9641
Mailing Address - Fax:
Practice Address - Street 1:8200 OCEANVIEW TER APT 401
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-3274
Practice Address - Country:US
Practice Address - Phone:415-269-9641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist