Provider Demographics
NPI:1396955027
Name:RODRIGUEZ, SONIA E
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:E
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB253 RR-8
Mailing Address - Street 2:BOX 1995
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-243-9599
Mailing Address - Fax:787-787-4502
Practice Address - Street 1:O30 CALLE 9
Practice Address - Street 2:HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5153
Practice Address - Country:US
Practice Address - Phone:787-243-9599
Practice Address - Fax:787-787-4502
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5694183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician