Provider Demographics
NPI:1720133689
Name:RODRIGUEZ, MARIA GARAY (PHARMACIST TECHNICI)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:GARAY
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PHARMACIST TECHNICI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CALLE PENTAGRAMA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3714
Mailing Address - Country:US
Mailing Address - Phone:787-810-6492
Mailing Address - Fax:
Practice Address - Street 1:25 CALLE PENTAGRAMA
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3714
Practice Address - Country:US
Practice Address - Phone:787-810-6492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2750183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician