Provider Demographics
NPI:1255626081
Name:ROSA-PINTOR, DAISY M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DAISY
Middle Name:M
Last Name:ROSA-PINTOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2706 AVE. MARUCA
Mailing Address - Street 2:DF 02565-0
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:787-812-5978
Mailing Address - Fax:
Practice Address - Street 1:2706 AVE. MARUCA
Practice Address - Street 2:DF 02565-0
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-812-5978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5196183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist