Provider Demographics
NPI:1396217428
Name:RODRIGUEZ VARELA, JULIANNA
Entity Type:Individual
Prefix:DR
First Name:JULIANNA
Middle Name:
Last Name:RODRIGUEZ VARELA
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:PO BOX 3590
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-3590
Mailing Address - Country:US
Mailing Address - Phone:787-808-5040
Mailing Address - Fax:787-808-5041
Practice Address - Street 1:CARR 100 KM 6.6
Practice Address - Street 2:BO MIRADERO
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623
Practice Address - Country:US
Practice Address - Phone:787-808-5040
Practice Address - Fax:787-808-5041
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6486183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist