Healthcare Provider Details

I. General information

NPI: 1285412676
Provider Name (Legal Business Name): NADJA L RODRIGUEZ QUINONES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FARMACIA SUGGEILY CALLE 4 BELGICA
GUANICA PR
00653
US

IV. Provider business mailing address

4707 DORAL POINTE DR
KISSIMMEE FL
34758-2875
US

V. Phone/Fax

Practice location:
  • Phone: 787-821-1105
  • Fax:
Mailing address:
  • Phone: 701-899-4546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8403
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: