Provider Demographics
NPI:1770653669
Name:MENENDEZ, ROSARIO (RPH)
Entity Type:Individual
Prefix:
First Name:ROSARIO
Middle Name:
Last Name:MENENDEZ
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 1:441 CALLE CORCEGA
Mailing Address - Street 2:PUERTO NUEVO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-3815
Mailing Address - Country:US
Mailing Address - Phone:787-783-4615
Mailing Address - Fax:
Practice Address - Street 1:UDH P.R. MEDICAL CENTER
Practice Address - Street 2:DEPTO DE FARMACIA, BARRIO MONACILLOS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00922-2116
Practice Address - Country:US
Practice Address - Phone:787-754-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist