Provider Demographics
NPI:1164169967
Name:MONTOYO ROSARIO, ELI SETLAIN (PHARM D)
Entity Type:Individual
Prefix:
First Name:ELI
Middle Name:SETLAIN
Last Name:MONTOYO ROSARIO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 CALLE PIMENTEL
Mailing Address - Street 2:ALTOS
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745
Mailing Address - Country:US
Mailing Address - Phone:787-632-1522
Mailing Address - Fax:
Practice Address - Street 1:CALLE ARACIBO A9
Practice Address - Street 2:URBANIZACION VILLA DE CANEY
Practice Address - City:TRUJILLO ALTO PR
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-755-7845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist