Provider Demographics
NPI:1891048716
Name:GARCIA-DELGADO, ROLANDO (RPH)
Entity Type:Individual
Prefix:
First Name:ROLANDO
Middle Name:
Last Name:GARCIA-DELGADO
Suffix:
Gender:M
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:CALLE ALEXANDRA, LAS PALMAS DE CERRO GORDO
Mailing Address - Street 2:99
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-9645
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CALLE ALEXANDRA, LAS PALMAS DE CERRO GORDO
Practice Address - Street 2:99
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-9645
Practice Address - Country:US
Practice Address - Phone:787-234-9916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR48741835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclear