MEDICARE: DR. YARELIS ROSARIO RODRIGUEZ PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	8317	PR

General Provider Information

NPI Number	:	1528880887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YARELIS ROSARIO RODRIGUEZ PHARMD

Provider Business Mailing Address
First Line	:	9400 AVE LOS ROMEROS
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-7072
Country	:	US
Telephone Number	:	787-294-0494
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 AVE LOS ROMEROS
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-7072
Country	:	US
Telephone Number	:	787-294-0494
Fax Number	:	787-294-0495

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	10/28/2024

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