Provider Demographics
NPI:1093013542
Name:RODRIGUEZ, ROSANGELA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROSANGELA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 VIA NIZA
Mailing Address - Street 2:URB PASEO DEL MAR
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4644
Mailing Address - Country:US
Mailing Address - Phone:787-366-8397
Mailing Address - Fax:
Practice Address - Street 1:CALLE PALMER
Practice Address - Street 2:#22
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638
Practice Address - Country:US
Practice Address - Phone:787-242-9995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist