Provider Demographics
NPI:1639416837
Name:RODRIGUEZ, ZUGEILY
Entity Type:Individual
Prefix:
First Name:ZUGEILY
Middle Name:
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:ESTANCIAS MONTE SOL
Mailing Address - Street 2:NUMBER 14
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-0014
Mailing Address - Country:US
Mailing Address - Phone:787-597-7077
Mailing Address - Fax:
Practice Address - Street 1:REPT. LOPEZ CANDAL
Practice Address - Street 2:CALLE 1 #14
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-597-7077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8334183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8334OtherTECHNICIAN PHARMACY