Provider Demographics
NPI:1972666493
Name:ROSADO GONZALEZ, CARMEN YERITZA (PHARMD, MS)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:YERITZA
Last Name:ROSADO GONZALEZ
Suffix:
Gender:F
Credentials:PHARMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VILLAS DE PARQUE ESCORIAL 2402J
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-0985
Mailing Address - Country:US
Mailing Address - Phone:787-276-6691
Mailing Address - Fax:
Practice Address - Street 1:ANGORA INDUSTRIAL PARK LOT 4 ROW 1
Practice Address - Street 2:KM 33.3 BARRIO BAIROA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-276-6691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist