Healthcare Provider Details

I. General information

NPI: 1235923756
Provider Name (Legal Business Name): ANDRES RODRIGUEZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/08/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1922 AVE. RAMIREZ DE ARELLANO ESQ. MADRID TORRIMAR SHOPPING CENTER (LOCAL #1)
GUAYNABO PR
00966
US

IV. Provider business mailing address

1922 AVE. RAMIREZ DE ARELLANO ESQ. MADRID TORRIMAR SHOPPING CENTER (LOCAL #1)
GUAYNABO PR
00966
US

V. Phone/Fax

Practice location:
  • Phone: 787-946-0057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6834
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: