Provider Demographics
NPI:1811500689
Name:FONTRODONA, ANA ESTHER (PHARMD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:ESTHER
Last Name:FONTRODONA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:ESTHER
Other - Last Name:FONTRODONA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:11625 SW 98TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-4107
Mailing Address - Country:US
Mailing Address - Phone:786-201-3451
Mailing Address - Fax:
Practice Address - Street 1:442 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-6036
Practice Address - Country:US
Practice Address - Phone:786-404-6810
Practice Address - Fax:305-246-5790
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52397183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist