Healthcare Provider Details

I. General information

NPI: 1720769375
Provider Name (Legal Business Name): NATALIA ROSA LUGO RODRIGUEZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PONCE TOWN CENTER SUITE 1368 PLOT 14
PONCE PR
00715
US

IV. Provider business mailing address

241 VILLA TULI
MAYAGUEZ PR
00682-7539
US

V. Phone/Fax

Practice location:
  • Phone: 787-928-0000
  • Fax:
Mailing address:
  • Phone: 939-267-1274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8356
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: