Provider Demographics
NPI:1467545517
Name:ROGES, PEDRO PABLO (PHARMD)
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:PABLO
Last Name:ROGES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14655 SW 104TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2976
Mailing Address - Country:US
Mailing Address - Phone:305-388-8191
Mailing Address - Fax:305-388-8189
Practice Address - Street 1:14655 SW 104TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2976
Practice Address - Country:US
Practice Address - Phone:305-388-8191
Practice Address - Fax:305-388-8189
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist