Provider Demographics
NPI:1912516220
Name:RODRIGUEZ MORENO, DANIA MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DANIA
Middle Name:MARIE
Last Name:RODRIGUEZ MORENO
Suffix:
Gender:F
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:HC 60 BOX 29242-5
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9235
Mailing Address - Country:US
Mailing Address - Phone:787-226-5970
Mailing Address - Fax:
Practice Address - Street 1:CARR 411 KM 2.0 INT PASEO DE LAS FLORES
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:787-226-5970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist