Provider Demographics
NPI:1295473437
Name:RODRIGUEZ-ALVARADO, CARLOS (PHARMD)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:RODRIGUEZ-ALVARADO
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:URB. SENDEROS DE JUNCOS
Mailing Address - Street 2:104 CALLE TORONJA
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00888
Mailing Address - Country:US
Mailing Address - Phone:787-407-9905
Mailing Address - Fax:
Practice Address - Street 1:CARR PR #1 ESQ. CALLE PINO
Practice Address - Street 2:PLAZA DEL CARMEN MALL LOCAL 51
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-1273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-26
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist