Provider Demographics
NPI:1851517643
Name:ROCAFORT, MELBA I (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MELBA
Middle Name:I
Last Name:ROCAFORT
Suffix:
Gender:F
Credentials:RPH
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Mailing Address - Street 1:408 BLVD MEDIA LUNA
Mailing Address - Street 2:ALTURAS DE PARQUE ESCORIAL APT. C-1809
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-4971
Mailing Address - Country:US
Mailing Address - Phone:787-750-0718
Mailing Address - Fax:787-296-5634
Practice Address - Street 1:297 AVE CARLOS CHARDON
Practice Address - Street 2:URB. TRES MONJITAS INDUSTRIAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1410
Practice Address - Country:US
Practice Address - Phone:787-250-6500
Practice Address - Fax:939-205-5728
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR4380183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist