Provider Demographics
NPI:1932323003
Name:RODRIGUEZ, MARGARITA NMN (LCDA)
Entity Type:Individual
Prefix:MRS
First Name:MARGARITA
Middle Name:NMN
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LCDA
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 1959
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-1959
Mailing Address - Country:US
Mailing Address - Phone:787-720-3387
Mailing Address - Fax:787-720-3387
Practice Address - Street 1:ROAD 837, K-0.7, BO. SANTA ROSA 1
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00970
Practice Address - Country:US
Practice Address - Phone:787-720-3387
Practice Address - Fax:787-720-3387
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist