Provider Demographics
NPI:1669595716
Name:ROJAS, JOSE ANIBAL (RPH, PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ANIBAL
Last Name:ROJAS
Suffix:
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:URB. PALACIOS DEL RIO I
Mailing Address - Street 2:#467
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-5007
Mailing Address - Country:US
Mailing Address - Phone:787-698-1095
Mailing Address - Fax:787-783-2951
Practice Address - Street 1:AVE. AMERICO MIRANDA
Practice Address - Street 2:#1210 REPARTO METROPOLITANO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-1620
Practice Address - Country:US
Practice Address - Phone:787-783-8579
Practice Address - Fax:787-783-2951
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5257183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist