Provider Demographics
NPI:1164794236
Name:VEGLIO, ROSALYN
Entity Type:Individual
Prefix:MRS
First Name:ROSALYN
Middle Name:
Last Name:VEGLIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BB1 AVE FLOR DEL VALLE
Mailing Address - Street 2:URB. LAS VEGAS
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962-6436
Mailing Address - Country:US
Mailing Address - Phone:787-224-8583
Mailing Address - Fax:787-788-8414
Practice Address - Street 1:BB1 AVE FLOR DEL VALLE
Practice Address - Street 2:URB. LAS VEGAS
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-6436
Practice Address - Country:US
Practice Address - Phone:787-224-8583
Practice Address - Fax:787-788-8414
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8305183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician