Healthcare Provider Details

I. General information

NPI: 1053060905
Provider Name (Legal Business Name): ANGEL MANUEL ORTIZ RODRIGUEZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2022
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 3 CALLE RIEFKHOL SUITE 3
PATILLAS PR
00723
US

IV. Provider business mailing address

FARMACIA DEL VALLE CARR 3 CALLE RIEFKHOL SUITE #3
PATILLAS PR
00723
US

V. Phone/Fax

Practice location:
  • Phone: 787-271-3744
  • Fax:
Mailing address:
  • Phone: 787-271-3744
  • Fax: 787-271-3907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8008
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: