Provider Demographics
NPI:1740415199
Name:RODRIGUEZ-RIVERA, ROSA AMALIA (RPH)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:AMALIA
Last Name:RODRIGUEZ-RIVERA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CALLE ALCALA
Mailing Address - Street 2:URB. CIUDAD REAL
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3622
Mailing Address - Country:US
Mailing Address - Phone:787-858-6636
Mailing Address - Fax:
Practice Address - Street 1:P.R. ESTATAL NUM. 2 KM 47.7
Practice Address - Street 2:DOCTORS' CENTER HOSPITAL INC.
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-8513
Practice Address - Country:US
Practice Address - Phone:787-854-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4439183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist