Provider Demographics
NPI:1922710763
Name:RODRIGUEZ-PEREZ, JOSE PASTOR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:PASTOR
Last Name:RODRIGUEZ-PEREZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71
Mailing Address - Street 2:
Mailing Address - City:LOIZA
Mailing Address - State:PR
Mailing Address - Zip Code:00772-0071
Mailing Address - Country:US
Mailing Address - Phone:787-210-8760
Mailing Address - Fax:
Practice Address - Street 1:CARR 3, KM 23.9 URB. INDUSTRIAL, CLL LAS FLORES
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745
Practice Address - Country:US
Practice Address - Phone:787-887-0237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist