Provider Demographics
NPI:1144779125
Name:FIGUEROA-ROLDAN, MARIBEL (RPH)
Entity Type:Individual
Prefix:
First Name:MARIBEL
Middle Name:
Last Name:FIGUEROA-ROLDAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JE5 CALLE 229
Mailing Address - Street 2:COUNTRY CLUB
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982
Mailing Address - Country:US
Mailing Address - Phone:787-564-6762
Mailing Address - Fax:
Practice Address - Street 1:CARR 3 BARRIO SAN ANTON PLAZA ESCORIAL
Practice Address - Street 2:SAM'S CLUB
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-769-2038
Practice Address - Fax:787-769-2047
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-01
Last Update Date:2016-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist