Healthcare Provider Details

I. General information

NPI: 1427342484
Provider Name (Legal Business Name): CELINES RODRIGUEZ RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2011
Last Update Date: 06/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 URB BRISAS DE MONTICHELLO
CAYEY PR
00736-3244
US

IV. Provider business mailing address

24 URB BRISAS DE MONTICHELLO
CAYEY PR
00736-3244
US

V. Phone/Fax

Practice location:
  • Phone: 787-739-4386
  • Fax: 787-739-4394
Mailing address:
  • Phone: 787-739-4386
  • Fax: 787-739-4394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4925
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: