MEDICARE: MARIBEL RODRIGUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	3155	PR

General Provider Information

NPI Number	:	1194677278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIBEL RODRIGUEZ

Provider Business Mailing Address
First Line	:	PO BOX 1657
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00977-1657
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	CAR 183 BO HATO KM 1.0 SAN LORENZO SHOPPING CENTER
Second Line	:
City	:	SAN LORENZO
State	:	PR
Zip	:	00754
Country	:	US
Telephone Number	:	787-715-1770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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