Provider Demographics
NPI:1902904832
Name:RODRIGUEZ SANTOS INC
Entity Type:Organization
Organization Name:RODRIGUEZ SANTOS INC
Other - Org Name:FARMACIA LOUDGAR, RODRIGUEZ SANTOS.INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-785-2001
Mailing Address - Street 1:135 CALLE MILLONES
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-2039
Mailing Address - Country:US
Mailing Address - Phone:787-785-2001
Mailing Address - Fax:787-778-4993
Practice Address - Street 1:135 CALLE LOS MILLONES
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-2039
Practice Address - Country:US
Practice Address - Phone:787-785-2001
Practice Address - Fax:787-778-4993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15F1007333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4002135OtherNCPDP PROVIDER IDENTIFICATION NUMBER