Basic Information
| Provider Information | |||||||||
| NPI: | 1740538206 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRIONES | ||||||||
| FirstName: | ROSINNA | ||||||||
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| Credential: | RDCS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3438 N SONORAN HLS | ||||||||
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| City: | MESA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852071568 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4802031379 | ||||||||
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| Practice Location | |||||||||
| Address1: | 650 E INDIAN SCHOOL RD | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850121839 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022775551 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2012 | ||||||||
| LastUpdateDate: | 08/15/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246XS1301X | 93171 | AZ | Y | Technologists, Technicians & Other Technical Service Providers | Spec/Tech, Cardiovascular | Sonography |
No ID Information.