Provider Demographics
NPI:1366650319
Name:RODRIGUEZ, LILAYLA ESTHER
Entity Type:Individual
Prefix:MRS
First Name:LILAYLA
Middle Name:ESTHER
Last Name:RODRIGUEZ
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:CALLE LOEPORDO JIMENEZ Q-10
Mailing Address - Street 2:VILLA SAN ANTON
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-287-2200
Mailing Address - Fax:787-287-2433
Practice Address - Street 1:CALLE LEOPORDO JIMENEZ Q-10
Practice Address - Street 2:VILLA SAN ANTON
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-287-2200
Practice Address - Fax:787-287-2433
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4803183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician